| NPI | 1235268202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORANT STEVE BODO Owner 801-495-1086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2007-AL1-72909) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-06-19 |