Provider Demographics
NPI:1093152290
Name:SOBER LIVING PROPERTIES, LLC
Entity Type:Organization
Organization Name:SOBER LIVING PROPERTIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR / CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-557-9788
Mailing Address - Street 1:3434 E BENGAL BLVD # 220
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-5803
Mailing Address - Country:US
Mailing Address - Phone:801-386-9889
Mailing Address - Fax:801-386-9890
Practice Address - Street 1:1027 E MILLCREEK WAY
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106-2015
Practice Address - Country:US
Practice Address - Phone:801-386-9889
Practice Address - Fax:801-386-9890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-29
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility