| Sego Lily Center For The Abused Deaf | |
|
6526 S State St 404 Murray UT 84107-7261 | |
| (888) 328-5486 | |
| (888) 328-5486 |
| Full Name | Sego Lily Center For The Abused Deaf |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6526 S State St, Murray, Utah |
| Authorized Official Name and Position | Joene Farris Nicolaisen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8883285486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sego Lily Center For The Abused Deaf Po Box 71279 Salt Lake City UT 84171-0279 Ph: (888) 328-5486 | Sego Lily Center For The Abused Deaf 6526 S State St 404 Murray UT 84107-7261 Ph: (888) 328-5486 |
| NPI Number | 1003045667 |
|---|---|
| Provider Enumeration Date | 07/03/2009 |
| Last Update Date | 07/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003045667 | NPI | - | NPPES |
| 251S00000X | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 50526596004 (Utah) | Primary |
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