Solid Foundations for Life, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

SOLID FOUNDATIONS FOR LIFE, LLC

Practice address

466 N 10TH PL
Coolidge, AZ 85128-3937

Phone

(480) 717-8996

NPI assigned

Mar 16, 2020

Last updated

Mar 16, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marcellus Dukes

Title

Cfo

Phone

(480) 717-8996

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1427684026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 N 10TH PL",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851283937",
            "telephone_number": "480-717-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 N 10TH PL",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851283937",
            "telephone_number": "480-717-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLID FOUNDATIONS FOR LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "DUKES",
        "authorized_official_first_name": "MARCELLUS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "480-717-8996"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Coolidge, AZ
• Providers in Coolidge, AZ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.