# SOUTH JORDAN CARE GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881292936
- **Authorized official:** MR. JOHN MCNEIL (COO)
- **Authorized official phone:** (360) 542-9442

## Contact information

- **Practice address:** 2664 W 11400 S, SOUTH JORDAN, UT 84095-1229
- **Practice address phone:** (801) 260-0007
- **Practice address fax:** (801) 260-0008
- **Mailing address:** 5101 NE 82ND AVE STE 200, VANCOUVER, WA 98662-6343
- **Mailing address phone:** (360) 254-9442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 10/12/2020
- **Last updated:** 10/12/2020