Organization

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

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