Provider Demographics
NPI:1992480107
Name:CHERISHING LIFE LLC
Entity type:Organization
Organization Name:CHERISHING LIFE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNEDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-749-4106
Mailing Address - Street 1:10050 E HARVEST RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AZ
Mailing Address - Zip Code:85132-7393
Mailing Address - Country:US
Mailing Address - Phone:614-749-4106
Mailing Address - Fax:
Practice Address - Street 1:10050 E HARVEST RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AZ
Practice Address - Zip Code:85132-7393
Practice Address - Country:US
Practice Address - Phone:614-749-4106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-16
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility