| NPI | 1063358117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATILDA NAMUCHANA MASUMBA Chief Executive Officer 801-815-3521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2026-04-28 |
| Last Update Date | 2026-04-28 |