| NPI | 1205191129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVRETT BENTON President 801-859-5126 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 230512) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2012-07-06 |