| NPI | 1316839822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA TANNER Admin Assistant 801-819-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-18 |