LIVE FOR LIFE CYPRESS is a foster care agency in Erda, UT. The provider is a Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. LIVE FOR LIFE CYPRESS NPI is 1922492057. The provider is registered as an organization entity type.
The provider's business location address is:
3023 N BRONZEWOOD CIR
ERDA, UT
ZIP 84074-302
Phone: (801) 577-4142
The provider's authorized official is Troy Shaw .
The authorized official title is Executive Director and has the following contact phone number (801) 577-4142.
The CLIA number assigned to this NPI record is 46D2161185 - other - residential treatment with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/26/2015 and was last updated on 12/23/2019.