NPI 1205016490
Life Individual Family Enrichment Services
Practice location
- Address
- 153 White Fawn Dr, Daytona Beach, FL 32114-1464
- Phone
- (386) 523-8287
- Fax
- (386) 523-8287
Authorised official
- Name
- Jerry Lewis Taylor
- Title
- Director
- Phone
- (386) 523-8287
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1205016490
- Entity type
- Organization
- NPI issued
- 6 Nov 2007
- Record last updated
- 6 Nov 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.