| NPI | 1720291131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA J GIBSON Director 801-582-5104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2007-AL1-264) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |