NPI 1881292936
South Jordan Care Group LLC
Practice location
- Address
- 2664 W 11400 S, South Jordan, UT 84095-1229
- Phone
- (801) 260-0007
- Fax
- (801) 260-0008
- Mailing address
- 5101 NE 82nd Ave STE 200, Vancouver, WA 98662-6343
Authorised official
- Name
- John McNeil
- Title
- Coo
- Phone
- (360) 542-9442
Registered specialties
Alzheimer Center (Dementia Center)
Primary
Registry record
- NPI
- 1881292936
- Entity type
- Organization
- NPI issued
- 12 Oct 2020
- Record last updated
- 12 Oct 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.