Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VICTOR CLARK
Active Sole ProprietorVICTOR CLARK is a Assisted Living Facility healthcare provider located in HERRIMAN, Utah. NPI 1649687948 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · HERRIMAN, UT
Registration Details
- NPI Number
- 1649687948
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2014 (12.083752319573 yrs)
- Last Updated
- Jul 18, 2014
- License
-
2014-ALIIUT000651 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6352 W 13100 SHERRIMAN, UT, 84096Browse UT providers · Browse ZIP 84096
- Phone
- 8019031040
- Fax
- 8014466293
- Primary Specialty
-
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.