Organization · Type 2 NPI
Direct Care Medical Home Clinic LLC
Primary Care Clinic/Center · West Jordan, UT
NPI number
1730507161
Active
Practice location
7611 S Jordan Landing Blvd Ste 200
West Jordan, UT 84084-5612
Fax (801) 260-1441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1730507161
Direct Care Medical Home Clinic LLC's National Provider Identifier is 1730507161, issued on Apr 2, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in West Jordan, UT. The record was last updated on Apr 2, 2014.