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Contact Information

A FULLER LIFESTYLE GROUP HOME INC
8567 CHERYL ANN LN
JACKSONVILLE, FL32244-1272
 Phone: 904-894-9979
 Fax: 904-894-9979
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
Indicates primary specialty

NPI Profile & details for A FULLER LIFESTYLE GROUP HOME INC

NPI Number 1760335582
LBN Legal business name A FULLER LIFESTYLE GROUP HOME INC
Authorized official LORENZO FULLER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/19/2026
Last updated 02/19/2026 - About 4 months ago
Identifiers n/a
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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