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NPI Profile for VICTOR CLARK in HERRIMAN, UT.
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Assisted Living Facility |
310400000X |
| NPI Number | 1649687948 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/18/2014 | |
| Last updated | 07/18/2014 - About 12 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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VICTOR CLARK
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VICTOR CLARK