Organization
CLINICAL CONSULTANTS LLC
Active
Parent organization
CLINICAL CONSULTANTS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINICAL CONSULTANTS LLC
Authorized official
MIKE ODOM ASUDC (PROGRAM ADMINISTRATOR)
(801) 233-8670
Entity
Organization
Contact information
Practice address
7601 S REDWOOD RD BLDG E, WEST JORDAN, UT 84084-4007
(801) 233-8670
Mailing address
7601 S REDWOOD RD BLDG E, WEST JORDAN, UT 84084-4007
(801) 233-8670
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
22529
UT
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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