NPI | 1992866024 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH PETERSEN Director Of Nursing 801-773-1649 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2006-AL1-540) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-08-22 |