| NPI | 1720447766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED RASMUSSEN Administrator 801-374-9625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 132700000X Dietary Manager (Licence: UT 283029-1205) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |