Life Individual Family Enrichment Services
NPI #1205016490 in Daytona Beach, Florida
Provider Information
- NPI Number
- 1205016490
- Entity Type
- Organization
- Organization Name
- Life Individual Family Enrichment Services
- Primary Specialty
- Case Management
- Enumeration Date
- Nov 6, 2007
- Last Updated
- Nov 6, 2007
Practice Location
- Address
- 153 WHITE FAWN DR
- City
- Daytona Beach
- State
- Florida
- ZIP Code
- 32114-1464
- Phone
- (386) 523-8287
Authorized Official
- Name
- JERRY LEWIS TAYLOR
- Title
- DIRECTOR
- Phone
- (386) 523-8287
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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