A Great Life Services Inc
Community/Behavioral Health Agency in Orlando, FL(View on Map)
Legal Business Name
A Great Life Services Inc
NPI Number
1144367418
NPI Type
Organization
Enumeration Date
01/30/2007
Specialties
(Taxonomies)Code
251S00000X
103K00000X
251E00000X
101YM0800X
Primary Taxonomy
Yes
No
No
No
Licenses
State
Florida
Florida
Florida
License Number
0-05-1761
P06000053181
LMHC 10628
Contact
Information
Purpose
Mailing
Location
Address
15031 PERDIDO DR
1150 S SEMORAN BLVD STE A
City
Orlando
Orlando
State
FL
FL
Postal Code
32828-5216
32807-1424
Country
US
US
Telephone Number
(407) 702-5258
(407) 704-7811
Authorized Official
Name
Mrs. Janera Echevarria
Title or Position
CEO
Telephone Number
(407) 702-5258
Identifiers
Identifier
004774200
691558202
691558296
691558201
Identifier State
FL
FL
FL
FL
Identifier Issuer
Unknown
MEDICAID PERSONAL CARE
Unknown
MEDICAID AGED/DISABLED ADULTS
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/12/2018
Provider Address
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