| NPI | 1679930242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JULIAN Administrator 801-694-3205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2015-ALI-UT000353) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |