# A NEW WALK OF LIFE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063867745
- **Authorized official:** MARK DAVIS (OWNER)
- **Authorized official phone:** (561) 225-8242

## Contact information

- **Practice address:** 111 AVENUE O, RIVIERA BEACH, FL 33404-7215
- **Practice address phone:** (561) 225-8242
- **Mailing address:** 111 AVENUE O, RIVIERA BEACH, FL 33404-7215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/29/2016
- **Last updated:** 04/29/2016