NPI | 1669924692 |
---|---|
Doing Business As | HEARTHSTONE MANOR |
Entity Type | Organization |
Authorized Contact | CRAIG LARRY HERMANSEN Owner 801-836-9555 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2016-10-25 |
Last Update Date | 2016-10-25 |