Organization
LIFE CARE COMMUNITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENANT NSABIMANA BIGWI (EXECUTIVE DIRECTOR)
(385) 420-1249
Entity
Organization
Contact information
Practice address
4373 W LENNOX DR, SOUTH JORDAN, UT 84009-9786
(385) 420-1249
Mailing address
4373 W LENNOX DR, SOUTH JORDAN, UT 84009-9786
(385) 420-1249
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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