| NPI | 1730546797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MARTZ Manager 801-866-5009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2015-ALII-UT000720) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |