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NPI Code Detail

MEDICARE: LIFE OF PURPOSE INC.

MEDICARE: LIFE OF PURPOSE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1347C00000XPrivate Vehicle
2374U00000XHome Health Aide
3385H00000XRespite Care
4385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
5251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1023862125
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE OF PURPOSE INC.
Provider Business Mailing Address
First Line : 2929 RAMBLER IVY LOOP
Second Line :
City : BRANDON
State : FL
Zip : 33510-2674
Country : US
Telephone Number : 813-563-8665
Fax Number :
Provider Business Practice Location Address
First Line : 2806 N 22ND ST
Second Line :
City : TAMPA
State : FL
Zip : 33605-2762
Country : US
Telephone Number : 813-563-8665
Fax Number :
Authorized Official
Title or Position : CEO/ OWNER
Name : TAWANNA TAYLOR
Credential :
Telephone Number : 813-563-8665
Provider Enumeration Date : 04/15/2024
Last Update Date : 10/21/2024

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