| Organization Name: | OMAL MANAGEMENT LLC |
| NPI Number: | 1154766483 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATTHEW RASBAND (MANAGER) |
| Mailing Address: | 2938 S Redwood Rd West Valley City |
| State: | UT US |
| Postal Code: | 841192323 |
| Phone Number: | 8019782424 |
| Fax Number: | 8019784481 |
| NPI Enumeration Date: | 04/30/2013 |
| NPI Last Update Date: | 04/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 2013-ALII-000549 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |