| NPI | 1821869272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED OMAR CEO 801-673-5781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-12-04 |