Life Individual Family Enrichment Services

NPI 1205016490 - Case Management - 251B00000X

NPI Details
NPI 1205016490
Enumeration Date 11/06/2007
Last Updated 11/06/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JERRY LEWIS JERRY
Position DIRECTOR
Phone (386) 523-8287
Fax (386) 523-8287
Practice Location
153 WHITE FAWN DR
DAYTONA BEACH FL, 32114-1464, US
Phone (386) 523-8287
Fax (386) 523-8287
Business Location
153 WHITE FAWN DR
DAYTONA BEACH FL, 32114-1464, US
Phone (386) 523-8287
Fax (386) 523-8287
Toxanomy
Taxonomy Code 251B00000X
License State
License Number
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According to our database, Life Individual Family Enrichment Services NPI is 1205016490, taxonomy code is 251B00000X Life Individual Family Enrichment Services physically located at 153 White Fawn Dr, Daytona Beach FL, 32114-1464. NPI Number 1033115704 has the healthcare provider type.

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1205016490 NPI number is provided on an as is basis without warranty of any kind. 1205016490 is maintained by the National Plan & Provider Enumeration System. The contents of Life Individual Family Enrichment Services are for informational purposes only.