| NPI | 1750732723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED ANDERSEN Owner 801-928-3997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2016AL11UT207238) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |