Organization
JNK MANAGEMENT LLC.
Active
Other names
PIONEER CARE LIVING, PIONEER CARE LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICKSON N KASUE DIRECTOR (DIRECTOR)
(801) 694-7071
Entity
Organization
Contact information
Practice address
10718 S 2420 W, SOUTH JORDAN, UT 84095-8659
(801) 694-7071
Mailing address
10718 S 2420 W, SOUTH JORDAN, UT 84095-8659
(801) 694-7071
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152937369
DRIVER LICENSE #
UT
05
—
152937369
—
UT
01
—
8016947071
DHHS
UT
01
—
DHHS
DSPD
UT
Enumeration date
08/23/2024
Last updated
08/23/2024
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