| NPI | 1629240221 |
|---|---|
| Doing Business As | THE LODGE AT JORDAN RIVER |
| Entity Type | Organization |
| Authorized Contact | AARON AIZAD President 801-254-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2008-ALII-84987) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |