| NPI | 1104068659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGGAN MARIE THOMAS Administrator 801-772-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2009-ALII-87229) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |