| NPI | 1205131091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRNA JEAN HENNEFER Owner/Administrator 801-265-9617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2010-ALI-364) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |