| NPI | 1962564815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY S BARLOW Administrator 801-390-9917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2006-ALI-39589) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |