Life Individual Family Enrichment Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LIFE INDIVIDUAL FAMILY ENRICHMENT SERVICES

Doing business as

Life

Practice address

153 White Fawn Dr
Daytona Beach, FL 32114-1464

Phone

(386) 523-8287

Fax

(386) 523-8287

NPI assigned

Nov 6, 2007

Last updated

Nov 6, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jerry Lewis Taylor

Title

Director

Phone

(386) 523-8287

Specialties & licenses 1

Addresses

Other names 1

• Life Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1205016490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 WHITE FAWN DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141464",
            "telephone_number": "386-523-8287",
            "fax_number": "386-523-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 WHITE FAWN DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141464",
            "telephone_number": "386-523-8287",
            "fax_number": "386-523-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE INDIVIDUAL FAMILY ENRICHMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "386-523-8287"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna S Liberatore, M.D.
• Libra 85
• Libra Healthcare LLC (Medicine Shoppe)
• Andrea Licari-Critchley, LPC, LMHC, NCC, MA
• Mary Cynthia Liebler, RD
• Andrea Mae Lilavois, ARNP
• Samantha Lilly, OTR/L, MSOT, CPAM
• Peter Lim, DMD
• Suh Yueh Lim, M.D.
• Bo Lin, M.D., PH.D.

• Case Management Agency in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.