NPI | 1912241001 |
---|---|
Entity Type | Organization |
Authorized Contact | AARON C BENTON Senior Vice President 801-790-4652 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WA 603224991) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2012-11-15 |