| NPI | 1215320775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE IMLAY Owner 435-673-4809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: UT 0035640) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |