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Contact Information

A GREAT LIFE SERVICES INC
1150 S SEMORAN BLVD STE A
ORLANDO, FL32807-1424
 Phone: 407-704-7811
 Fax: 407-382-0659
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Behavior Analyst

103K00000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for A GREAT LIFE SERVICES INC

NPI # 1144367418
LBN Legal business name A GREAT LIFE SERVICES INC
Authorized official JANERA ECHEVARRIA - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2007
Last updated 09/12/2018 - About 8 years ago
Identifiers
FL License # 0-05-1761
FL License # LMHC 10628
FL License # P06000053181
FL Medicaid 004774200
FL Medicaid 691558296
FL Other 691558201 MEDICAID AGED/DISABLED ADULTS
FL Other 691558202 MEDICAID PERSONAL CARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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