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Organization

NEW LIFE SPACE COAST ADULT DAYCARE

Active
Parent organization
NEW LIFE CHRISTIAN FELLOWSHIP
Organization subpart
Yes

Provider details

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

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary

Other

Enumeration date
06/15/2021
Last updated
06/15/2021
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