Life Long Learning Center 2

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

AL12123 Issued in FL

Legal business name

LIFE LONG LEARNING CENTER 2

Practice address

406 SE Fallon Dr
Port Saint Lucie, FL 34983-2635

Phone

(772) 237-2625

Fax

(772) 237-2624

NPI assigned

May 14, 2012

Last updated

May 14, 2012By 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

Mr. Charles Howard Swihart

Title

Administrator

Phone

(772) 237-2625

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1659630473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SE FALLON DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349832635",
            "telephone_number": "772-237-2625",
            "fax_number": "772-237-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SE FALLON DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349832635",
            "telephone_number": "772-237-2625",
            "fax_number": "772-237-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LONG LEARNING CENTER 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "SWIHART",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-237-2625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "FL",
            "license": "AL12123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalia Leyva Perez, FNP, APRN
• Vicki Li, DPT
• Frank Liantonio III
• Liberty Medical, LLC
• Brett Lieberman
• Lifeforce Pediatric Therapy
• Lifelong Health LLC
• Pauline Lilley-Harvey
• Linda Delo DO PA (Delo Medical Associates)
• Amanda McNesby Lindsay, M.S. CCC-SLP

• Alzheimer Center (Dementia Center) in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Alzheimer Center (Dementia Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.