SUMMIT SENIOR LIVING LLC
Managed Care Organizations at 6200, Salt Lake City, UT

License number
Utah 2016ALIIUT000744
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: RONALD ZIEBART
Title: MANAGER
Phone: (503) 363-4636
Address
Address 2
5524 W 6200 S, Salt Lake City, UT 84118
201 NE Park Plaza Dr STE 105, Vancouver, WA 98684
National Provider ID: 1780037879
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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