| Creators Legacy Homes LLC | |
|
332 W Harvard Dr Midvale UT 84047-7582 | |
| (801) 946-2323 | |
| Not Available |
| Full Name | Creators Legacy Homes LLC |
|---|---|
| Speciality | Peer Specialist |
| Location | 332 W Harvard Dr, Midvale, Utah |
| Authorized Official Name and Position | Matthew Joseph Vicario (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8019462323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creators Legacy Homes LLC 636 S 40 E Salem UT 84653-9530 | Creators Legacy Homes LLC 332 W Harvard Dr Midvale UT 84047-7582 Ph: (801) 946-2323 |
| NPI Number | 1770404279 |
|---|---|
| Provider Enumeration Date | 07/22/2026 |
| Last Update Date | 07/22/2026 |
| Certification Date | 07/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770404279 | NPI | - | NPPES |
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