| NPI | 1891544359 |
|---|---|
| Doing Business As | SULLIVAN PARK SENIOR LIVING ALF |
| Entity Type | Organization |
| Authorized Contact | JOHN MITCHELL Secretary 801-447-9829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |