NPI | 1083852057 |
---|---|
Doing Business As | CANYON COVE ASSISTED LIVING |
Entity Type | Organization |
Authorized Contact | KORDINE COTTAM Administrator 801-783-6499 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: UT 2008-ALI-76697) |
Enumeration Date | 2009-01-29 |
Last Update Date | 2009-01-29 |