| NPI | 1245531094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDILYN JACOBS Administrator 801-820-5589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2010-AL1-96155) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |