| NPI | 1710043971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI A. APPLE Administrator 801-250-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2006-AL1-875) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |