Organization
SOUTH JORDAN CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MCNEIL (COO)
(360) 542-9442
Entity
Organization
Contact information
Practice address
2664 W 11400 S, SOUTH JORDAN, UT 84095-1229
(801) 260-0007
(801) 260-0008
Mailing address
5101 NE 82ND AVE STE 200, VANCOUVER, WA 98662-6343
(360) 254-9442
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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