Organization
KEEPSAKE COMPANIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIONE LIU ELI FONUA JR. (OWNER)
(801) 600-9782
Entity
Organization
Contact information
Practice address
1420 S 900 W, SALT LAKE CITY, UT 84104-1625
(801) 600-9782
Mailing address
1420 S 900 W, SALT LAKE CITY, UT 84104-1625
(801) 600-9782
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
UT
Enumeration date
02/10/2023
Last updated
02/10/2023
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