| NPI | 1740736321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JOHNSON Owner 801-309-6485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2016-ALI-UT-000360) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |