| 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 |