| NPI | 1700949195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY MENDENHALL Owner 801-571-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2006-ALI-239) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |