Empowered for Life, LLC
NPI #1164673331 in West Valley City, Utah
Provider Information
- NPI Number
- 1164673331
- Entity Type
- Organization
- Organization Name
- Empowered for Life, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 7, 2008
- Last Updated
- Oct 7, 2008
Practice Location
- Address
- 5004 WEST JANETTE DRIVE
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84120
- Phone
- (801) 244-6599
Authorized Official
- Name
- MRS. LINDA CASALLO
- Title
- PRESIDENT
- Phone
- (801) 244-6599
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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