# NEULIFE NEUROLOGICAL SERVICES LLC

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

## Provider details

- **NPI number:** 1548636467
- **Authorized official:** JANET OTT (ADMINISTRATOR)
- **Authorized official phone:** (352) 409-7477

## Contact information

- **Practice address:** 2725 ROBIE AVE, MOUNT DORA, FL 32757-9619
- **Practice address phone:** (800) 626-3876
- **Mailing address:** 2725 ROBIE AVE, MOUNT DORA, FL 32757-9619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | FL | — |
| 283X00000X | Rehabilitation Hospital | 12406 | FL | — |
| 283X00000X | Rehabilitation Hospital | 70090977 | FL | — |
| 310400000X | Assisted Living Facility | AL12406 | FL | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 12406 | FL | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | 70090977 | FL | Yes |
| 320700000X | Physical Disabilities Residential Treatment Facility | AL12406 | FL | — |
| 385H00000X | Respite Care | AL12406 | FL | — |

## Other

- **Enumeration date:** 08/14/2015
- **Last updated:** 11/28/2017