Organization
THE LIFE ENRICHMENT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BANKER (BUSINESS OFFICE MANAGER)
(478) 445-7176
Entity
Organization
Contact information
Practice address
1111 N JEFFERSON ST NE, MILLEDGEVILLE, GA 31061-2531
(478) 445-7176
(478) 445-2964
Mailing address
PO BOX 644, MILLEDGEVILLE, GA 31059-0644
(478) 445-7176
(478) 445-2964
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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