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SOBER LIVING PROPERTIES LLC NPI 1093152290


NPI Information

NPI: 1093152290
Provider Name: SOBER LIVING PROPERTIES, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 46D2051009

Address:
1027 E MILLCREEK WAY
SALT LAKE CITY, UT
ZIP 84106
Phone: (801) 386-9889
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SOBER LIVING PROPERTIES, LLC is a substance abuse rehabilitation facility in Salt Lake City, UT. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SOBER LIVING PROPERTIES, LLC NPI is 1093152290. The provider is registered as an organization entity type.

The provider's business location address is:

1027 E MILLCREEK WAY
SALT LAKE CITY, UT
ZIP 84106-015
Phone: (801) 386-9889
Fax: (801) 386-9890

The provider's authorized official is Michael Brown .
The authorized official title is Executive Director / Ceo and has the following contact phone number (801) 557-9788.

The CLIA number assigned to this NPI record is 46D2051009 - other - residential support home with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2013 and was last updated on 4/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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