| NPI | 1851348965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES TODD BRAMALL Co Owner 801-489-9408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: UT 2006-ncf-64005) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2008-04-20 |