OrganizationActive
Friends for Life, LLC
NPI 1386897650 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Syracuse, UT
Provider details
- NPI number
- 1386897650
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Randy Shupe, Owner/Manager(801) 710-0210
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
2228 S 2325 W
Syracuse, UT 84075-9282
Phone: (801) 710-0210
Approximate (ZIP-level) locationGet directions
Mailing address
2228 S 2325 W
Syracuse, UT 84075-9282
Registry dates
- Enumerated
- 2008-10-29
- Last updated
- 2008-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.