| NPI | 1154766483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW RASBAND Manager 801-683-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2013-ALII-000549) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: UT 2013-ALII-000549) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |