NPI | 1699973461 |
---|---|
Entity Type | Organization |
Authorized Contact | STAN KETCHER General Manager 801-272-8226 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2007-ALI-255) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2020-08-22 |