| NPI | 1912750506 |
|---|---|
| Doing Business As | SPRING WATER RESIDENTIAL ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | CORY KENNETH ROSS Owner 801-404-1632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |