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BRIGHTWORK

Ambulatory Health Care Facilities Clinic/Center Adult Day Care

Provider NPI: 1962565077

Organization Information:
Organization Name:  BRIGHTWORK
Authorized Official:  CHRISTOPHER TODD JULIAN  PRESIDENT  801-694-3205

Practice Location:
1603 E STRATFORD AVE  SALT LAKE CITY, UT 84106-3669 US
Tel: 801-694-3205  Fax: 801-484-5968

Business Mailing Address:
1603 E STRATFORD AVE  SALT LAKE CITY, UT 84106-3669 US
Tel: 801-694-3205  Fax: 801-484-5968

NPI Information:
NPI: 1962565077
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA0600XAmbulatory Health Care Facilities
Clinic/Center
Adult Day Care
UT11289

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QA0600X

Type:

Classification:



Definition:



MEDICAL JOBS UT - Page 1

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