| NPI | 1992483812 |
|---|---|
| Former Legal Business Name | NA |
| Entity Type | Organization |
| Authorized Contact | MINNIE M MICHAEL President ,COO 801-814-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |