NPI | 1801235502 |
---|---|
Doing Business As | LIFE LIFE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | RONALD DAVID TILLER Medical Director 435-574-9777 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: UT 7300098-1205) |
Enumeration Date | 2013-06-17 |
Last Update Date | 2013-06-17 |