Provider Demographics
NPI:1699237719
Name:LIVING LIFE HOME HEALTH AND DAY CARE LLC
Entity type:Organization
Organization Name:LIVING LIFE HOME HEALTH AND DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:GRIFFITHS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-390-1441
Mailing Address - Street 1:845 N 400 E # A
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-4603
Mailing Address - Country:US
Mailing Address - Phone:801-390-1441
Mailing Address - Fax:
Practice Address - Street 1:845 N 400 E # A
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-4603
Practice Address - Country:US
Practice Address - Phone:801-390-1441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-05
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility