| NPI | 1609048859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY SYLVANUS COLLETT Administrator/Owner 435-789-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2007-ALII-81006) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |