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Victor Clark
Assisted Living Facility in Herriman, Utah
NPI 1649687948

Victor Clark is an Assisted Living Facility based in Herriman, UT. Victor Clark practices in Herriman, UT. The NPI Number for Victor Clark is 1649687948 and holds a License No. 2014-ALIIUT000651 (Utah).

The current practice location address for Victor Clark is 6352 W 13100 S, Herriman, UT and can be reached out via phone at 801-903-1040 and via fax at 801-446-6293.

Location: 6352 W 13100 S, Herriman, UT, 84096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649687948
Provider Name
Victor Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
6352 W 13100 S, Herriman, UT, 84096
Phone Number
801-903-1040
Fax Number
801-446-6293
Provider Enumeration Date
07/18/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6352 W 13100 S
City
Herriman
State
Utah
Zip
84096
Phone Number
801-903-1040
Fax Number
801-446-6293
person
Provider Business Mailing Address Details
Address
6352 W 13100 S
City
Herriman
State
Utah
Zip
84096
Phone Number
801-903-1040
Fax Number
801-446-6293
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
2014-ALIIUT000651 (Utah)
Definition
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.
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