| NPI | 1740573187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREL DENZIL HILL Owner 801-225-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: UT 136284) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |