| NPI | 1114492519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER ERIC MYERS Managing Member 801-709-4358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |