# THE LEVI LONG SICKLE CELL ASSOCIATION, INC

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

## Provider details

- **NPI number:** 1962048447
- **Authorized official:** KEIANA GRIFFIN (CEO)
- **Authorized official phone:** (386) 795-5269

## Contact information

- **Practice address:** 240 N FREDERICK AVE, DAYTONA BEACH, FL 32114-3400
- **Practice address phone:** (386) 795-5269
- **Mailing address:** 349 BARTLEY RD, DAYTONA BEACH, FL 32114-3015
- **Mailing address phone:** (386) 795-5269

## Taxonomy

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

## Other

- **Enumeration date:** 11/20/2019
- **Last updated:** 11/20/2019