| Life Included | |
|
160 S Main St Richfield UT 84701-2557 | |
| (435) 201-2074 | |
| Not Available |
| Full Name | Life Included |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 160 S Main St, Richfield, Utah |
| Authorized Official Name and Position | Tamara J Lofthouse (BOARD DIRECTOR) |
| Authorized Official Contact | 4352012074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Included 178 South Main Street Richfield UT 84701 Ph: (435) 896-8997 | Life Included 160 S Main St Richfield UT 84701-2557 Ph: (435) 201-2074 |
| NPI Number | 1831313436 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831313436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0998 (Utah) | Primary |
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