Provider Demographics
NPI:1982945945
Name:TRAINING IN LIFE CHOICES, L.L.C.
Entity Type:Organization
Organization Name:TRAINING IN LIFE CHOICES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:STICKLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-628-0587
Mailing Address - Street 1:4862 S 3100 W
Mailing Address - Street 2:
Mailing Address - City:ROY
Mailing Address - State:UT
Mailing Address - Zip Code:84067-9402
Mailing Address - Country:US
Mailing Address - Phone:801-628-0587
Mailing Address - Fax:801-776-1281
Practice Address - Street 1:4862 S 3100 W
Practice Address - Street 2:
Practice Address - City:ROY
Practice Address - State:UT
Practice Address - Zip Code:84067-9402
Practice Address - Country:US
Practice Address - Phone:801-628-0587
Practice Address - Fax:801-776-1281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
320600000X
UT151362715347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========003Medicaid