NPI | 1487719662 |
---|---|
Entity Type | Organization |
Authorized Contact | MELVIN DARCY FORSMAN Owner 801-272-2601 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2919) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2020-08-22 |