Friends for Life, LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Syracuse, UT
NPI 1386897650 · NPPES record last updated Oct 29, 2008
Key facts
- NPI
- 1386897650
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- FRIENDS FOR LIFE, LLC
- Practice address
- 2228 S 2325 W
Syracuse, UT 84075-9282 - Phone
- (801) 710-0210
- NPI assigned
- Oct 29, 2008
- Organization subpart
- No
Authorized official
- Name
- Randy Shupe
- Title
- Owner/Manager
- Phone
- (801) 710-0210
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
2228 S 2325 W
Syracuse, UT 84075-9282
Mailing address
2228 S 2325 W
Syracuse, UT 84075-9282
Phone (801) 710-0210
Other providers in Syracuse, UT
- First Care Medical-Orthomed LLC
- Wendy L Fisher
- Nathan Cyrus Foote
- Alisha Fox
- Bryce Freeland
- Michael L. Gailey
- Melissa Renee Garcia Perez
- April Nayomi Garcia Valdez
- Jeremy Grant Godderidge
- Tanner Cole Godfrey
All providers in Syracuse, UT · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.