| NPI | 1104037563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRNA L MCCLELLAN Administrator 801-773-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 006871) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |