NPI | 1407197205 |
---|---|
Entity Type | Organization |
Authorized Contact | DEVIN S. ALLRED Owner 801-330-0064 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2012ALII78531) |
Enumeration Date | 2013-03-05 |
Last Update Date | 2013-03-05 |