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FULLER LIFE LLC
NPI 1780329524
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Phoenix, AZ

Active since May 04, 2022
10720 W INDIAN SCHOOL RD # 19-154, PHOENIX, AZ 85037(480) 286-0568 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fuller Life Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULLER LIFE LLC (NPI 1780329524) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Phoenix, Arizona and active in the NPI registry since May 2022. The organization lists Steven Fuller, Owner, as its authorized official.

NPPES Registry Identity

NPI1780329524
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameFULLER LIFE LLC
Location Address10720 W INDIAN SCHOOL RD # 19-154Phoenix, AZ 85037-5721
Mailing Address10720 W Indian School Rd # 19-154Phoenix, AZ 85037-5721 · (480) 286-0568
Phone(480) 286-0568
Organization SubpartNo
Authorized OfficialSteven FullerOwner · (480) 286-0568
Enumeration DateMay 4, 2022
NPPES CertifiedMay 4, 2022
✔ NPI 1780329524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
10720 W INDIAN SCHOOL RD # 19-154, Phoenix, AZ 85037
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Frequently Asked Questions

What is FULLER LIFE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1780329524, enumerated as an "organization" on May 04, 2022.

Where is the provider located?

The provider is located at 10720 W INDIAN SCHOOL RD # 19-154 PHOENIX, AZ 85037 and the phone number is (480) 286-0568.

What is the provider's specialty?

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.