| NPI | 1215125307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN S BOSWELL Administrator 801-918-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2007-ALII-82101) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |