# NEW LIFE SPACE COAST ADULT DAYCARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEW LIFE CHRISTIAN FELLOWSHIP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528636792
- **Legal business name:** NEW LIFE CHRISTIAN FELLOWSHIP
- **Authorized official:** MRS. CINDY-LOU BLACH RN (CENTER DIRECTOR)
- **Authorized official phone:** (321) 269-7578

## Contact information

- **Practice address:** 6755 S WASHINGTON AVE, TITUSVILLE, FL 32780-8032
- **Practice address phone:** (321) 269-7578
- **Mailing address:** 6755 S WASHINGTON AVE, TITUSVILLE, FL 32780-8032
- **Mailing address phone:** (321) 269-7578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2021
- **Last updated:** 06/15/2021