| NPI | 1841568128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ADAM LARSEN Administrator 435-723-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 102056) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |