# GIFT OF LIFE

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

## Provider details

- **NPI number:** 1972620052
- **Authorized official:** MS. JENNIFER L PARNELL BA (TARGETED CASE MANAGER)
- **Authorized official phone:** (727) 423-0892

## Contact information

- **Practice address:** 4425 PARK BLVD, PINELLAS PARK, FL 33781-3540
- **Practice address phone:** (727) 423-0892
- **Practice address fax:** (727) 547-6752
- **Mailing address:** 4425 PARK BLVD, PINELLAS PARK, FL 33781-3540
- **Mailing address phone:** (727) 423-0892
- **Mailing address fax:** (727) 547-6752

## Taxonomy

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

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 12/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 757593900 | — | FL |