| NPI | 1003974221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR CLARK Owner And Administrator 801-569-2771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2006-ALI-948) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |