Gifted Life, LLC
Technician, Attendant Care Provider in Phoenix, AZ. Organization (NPI-2).
NPI number1851237374
StatusActive
Last updated in NPPESApr 27, 2026
Details
- NPI
- 1851237374
- Entity type
- Organization (NPI-2)
- Legal business name
- Gifted Life, LLC
- Organization subpart
- No
- Enumeration date
- Apr 27, 2026
- Certification date
- Apr 6, 2026
- Last updated
- Apr 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
610 E Piedmont RdPhoenix, AZ 85042-8419
Phone 602-799-3597
Mailing address
610 E Piedmont RdPhoenix, AZ 85042-8419
Phone 602-799-3597
Authorized official
Starla Jackson
Provider
6027993597
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