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LIFE-LINE INC. NPI 1699943118


NPI Information

NPI: 1699943118
Provider Name: LIFE-LINE, INC.

Doing Business As: LIFELINE FOR YOUTH

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1130 W CENTER ST
NORTH SALT LAKE, UT
ZIP 84054
Phone: (801) 936-4000
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LIFE-LINE, INC. is a substance abuse rehabilitation facility in North Salt Lake, 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. LIFE-LINE, INC. NPI is 1699943118. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifeline For Youth.

The provider's business location address is:

1130 W CENTER ST
NORTH SALT LAKE, UT
ZIP 84054-917
Phone: (801) 936-4000
Fax: (801) 936-8975

The provider's authorized official is Shane R Petersen .
The authorized official title is Chief Executive Officer and has the following contact phone number (801) 936-4000.

The enumeration date for this NPI number is 2/19/2008 and was last updated on 10/21/2011.


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 Facility129867-3501UTAHYes

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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