Provider Demographics
NPI:1154055978
Name:WAY TO LIFE, LLC
Entity Type:Organization
Organization Name:WAY TO LIFE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUSSEIN
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:ALANKOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-425-5700
Mailing Address - Street 1:4526 N 94TH LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-2431
Mailing Address - Country:US
Mailing Address - Phone:701-425-5700
Mailing Address - Fax:520-386-1818
Practice Address - Street 1:4526 N 94TH LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-2431
Practice Address - Country:US
Practice Address - Phone:701-425-5700
Practice Address - Fax:520-386-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-16
Last Update Date:2022-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness