Life-Line, Inc. in North Salt Lake - Rehabilitation, Substance Use Disorder
Life-Line, Inc. - NPI 1174711873
Life-Line, Inc. is a Rehabilitation, Substance Use Disorder in North Salt Lake, Utah. Life-Line, Inc. practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Life-Line, Inc. is 1174711873. The last update date is 2011-10-21.
Life-Line, Inc.'s current location address is 1130 W Center St, North Salt Lake, Utah. You can contact this provider via phone number 8019364000. The mailing address for Life-Line, Inc. is 1130 W Center St, North Salt Lake, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Life-Line, Inc. |
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Address | 1130 W Center St, North Salt Lake, Utah |
Phone Number | 8019364000 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CHIEF EXEC |
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Authorized Official Name | Petersen R Shane |
Credentials | MBA |
Telephone Number | 8019364000 |
NPI Number Detail
NPI Number | 1174711873 |
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Provider Enumeration Date | 2007-10-09 |
Last Updated Date | 2011-10-21 |
Provider Mailing Address Detail
Address | 1130 W Center St |
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City | North Salt Lake |
State | Utah (UT) |
Post Code | 840542917 |
Phone Number | 8019364000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Rehabilitation, Substance Use Disorder |
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Taxonomy | 261Qr0405X |
Licence No | 11832 |
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
Post Comment/ Review Below
What is the Life-Line, Inc.'s 1174711873?
The Life-Line, Inc.'s NPI (National Provider Identifier) Number is 1174711873. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Life-Line, Inc. is geographically located?
The Life-Line, Inc. is physically situated at the following location: 1130 W Center St, North Salt Lake, UT, 840542917.
What is Life-Line, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Life-Line, Inc. is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy classification code for this specialized field is 261Qr0405X.
On what date was the 1174711873 assigned to Life-Line, Inc.?
The Life-Line, Inc. was issued its 1174711873 on 2007-10-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Life-Line, Inc. most recently updated or revised?
The details related to Life-Line, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2011-10-21.
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