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Organization

CLEARFIELD MSL, LLC

Active
Other names
Chancellor Gardens of Clearfield
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARY SIMON (SENIOR VICE PRESIDENT AND CFO)
(949) 242-1400
Entity
Organization

Contact information

Practice address
1425 S 1500 E, CLEARFIELD, UT 84015-1621
(807) 779-0798
(801) 779-2798
Mailing address
175 TECHNOLOGY DR, STE 200, IRVINE, CA 92618-2478
(949) 242-1400

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2011-ALII-101027
UT

Other

Enumeration date
06/29/2011
Last updated
06/29/2011
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