Healthcare Provider Details

I. General information

NPI: 1851073209
Provider Name (Legal Business Name): ULIFE HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2023
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 W 2ND ST STE 27
MESA AZ
85201-6563
US

IV. Provider business mailing address

245 W 2ND ST STE 27
MESA AZ
85201-6563
US

V. Phone/Fax

Practice location:
  • Phone: 480-420-9407
  • Fax:
Mailing address:
  • Phone: 480-420-9407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ADAM URICH
Title or Position: CEO
Credential:
Phone: 480-420-9407