NPI 1164673331 EMPOWERED FOR LIFE, LLC SALT LAKE CITY UT. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Empowered For Life, Llc - NPI: 1164673331

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: EMPOWERED FOR LIFE, LLC
NPI Number: 1164673331
Entity Type Code: Organizational (2)
Authorized Official Name: LINDA CASALLO
(PRESIDENT)
Mailing Address: 5004 West Janette Drive
West Valley City
State: UT US
Postal Code: 84120
Phone Number: 8012446599
Fax Number: 8019697105
NPI Enumeration Date: 10/07/2008
NPI Last Update Date: 10/07/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 320900000X
License Number: 20071054
Healthcare Provider Taxonomy:
(Secondary)
Y
State: UT
Taxonomy Type: Residential Treatment Facilities
Taxonomy Classification: Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities
Taxonomy Specialization:
Taxonomy Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.


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