| 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 |