| NPI | 1629343082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE T JOHNSON Owner 801-388-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT AL-105249) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |