| NPI | 1053728543 |
|---|---|
| Doing Business As | SUPERIOR ASSISTED LIVING OF CENTERVILLE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW RASBAND President 801-683-6521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2014-ALI-82394) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: UT 2014-ALI-82394) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |