| NPI | 1871373878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MERCHANT Sole Member 801-834-3039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |