NPI | 1629326574 |
---|---|
Entity Type | Organization |
Authorized Contact | GENE SPAULDING Owner/Manager 801-655-5090 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2012-ALII-106519) |
Enumeration Date | 2012-08-27 |
Last Update Date | 2012-08-27 |