| NPI | 1265840391 |
|---|---|
| Doing Business As | SOUTHGATE SENIOR LIVING |
| Entity Type | Organization |
| Authorized Contact | ADAM BENTON Authorized Signator 801-639-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2019-08-08 |