NPI 1164673331
Empowered for Life, LLC
Practice location
- Address
- 5004 West Janette Drive, West Valley City, UT 84120
- Phone
- (801) 244-6599
- Fax
- (801) 969-7105
- Mailing address
- 1467 Riverside Dr, Salt Lake City, UT 84104-2116
Authorised official
- Name
- Linda Casallo
- Title
- President
- Phone
- (801) 244-6599
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1164673331
- Entity type
- Organization
- NPI issued
- 7 Oct 2008
- Record last updated
- 7 Oct 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.