FULLER LIFE LLC NPI 1780329524

NPI Information

FULLER LIFE LLC is a residential treatment facility, intellectual and/or developmental disabilities in Phoenix, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. FULLER LIFE LLC NPI is 1780329524. The provider is registered as an organization entity type.

The provider's business location address is:

10720 W INDIAN SCHOOL RD # 19-154
PHOENIX, AZ
ZIP 85037-721
Phone: (480) 286-0568

The provider's authorized official is Steven Fuller .
The authorized official title is Owner and has the following contact phone number (480) 286-0568.

The enumeration date for this NPI number is 5/4/2022 and was last updated on 5/4/2022.

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:

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