| NPI | 1033251061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON D HAYES Administrator 435-673-7398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2005-ALI-61134) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-08-18 |