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Organization

NEULIFE NEUROLOGICAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANET OTT (ADMINISTRATOR)
(352) 409-7477
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
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
Primary
70090977
FL
320700000X
Physical Disabilities Residential Treatment Facility
AL12406
FL
385H00000X
Respite Care
AL12406
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AL12406
AHCA
FL
Enumeration date
08/14/2015
Last updated
11/28/2017
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