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Organization

LIVE FOR LIFE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RACHEL TICE (HUMAN RESOURCE DIRECTOR)
(801) 666-6834
Entity
Organization

Contact information

Practice address
9045 S 1300 E STE 200, SANDY, UT 84094-3134
(801) 666-6834
Mailing address
9045 S 1300 E STE 200, SANDY, UT 84094-3134
(801) 666-6834

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
05/08/2018
Last updated
05/08/2018
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