Individual provider · Type 1 NPI
Victor Clark
Assisted Living Facility · Herriman, UT
NPI number
1649687948
Active
Practice location
6352 W 13100 S
Herriman, UT 84096
Fax (801) 446-6293
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 2014-ALIIUT000651 (UT) |
Assisted Living Facility: 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.
Another provider at this address
About NPI 1649687948
Victor Clark's National Provider Identifier is 1649687948, issued on Jul 18, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Herriman, UT. The record was last updated on Jul 18, 2014.