| Lifting Individuals And Families For Eternity, Inc | |
|
840 Edgewood Ave S Ste 203 Jacksonville FL 32205-0813 | |
| (407) 758-0901 | |
| Not Available |
| Full Name | Lifting Individuals And Families For Eternity, Inc |
|---|---|
| Speciality | Case Management |
| Location | 840 Edgewood Ave S Ste 203, Jacksonville, Florida |
| Authorized Official Name and Position | Chrystal Brown (OWNER/OPERATOR) |
| Authorized Official Contact | 4077580901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifting Individuals And Families For Eternity, Inc 840 Edgewood Ave S Ste 203 Jacksonville FL 32205-0813 Ph: (407) 758-0901 | Lifting Individuals And Families For Eternity, Inc 840 Edgewood Ave S Ste 203 Jacksonville FL 32205-0813 Ph: (407) 758-0901 |
| NPI Number | 1184969636 |
|---|---|
| Provider Enumeration Date | 12/10/2012 |
| Last Update Date | 12/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184969636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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