| A Great Life Services Inc | |
|
1150 S Semoran Blvd Ste A Orlando FL 32807-1424 | |
| (407) 704-7811 | |
| (407) 382-0659 |
| Full Name | A Great Life Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1150 S Semoran Blvd Ste A, Orlando, Florida |
| Authorized Official Name and Position | Janera Echevarria (CEO) |
| Authorized Official Contact | 4077025258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Great Life Services Inc 15031 Perdido Dr Orlando FL 32828-5216 Ph: (407) 702-5258 | A Great Life Services Inc 1150 S Semoran Blvd Ste A Orlando FL 32807-1424 Ph: (407) 704-7811 |
| NPI Number | 1144367418 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 09/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144367418 | NPI | - | NPPES |
| 004774200 | Medicaid | FL | |
| 691558202 | Other | FL | MEDICAID PERSONAL CARE |
| 691558296 | Medicaid | FL | |
| 691558201 | Other | FL | MEDICAID AGED/DISABLED ADULTS |
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