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NPI Code Detail

MEDICARE: FAMILY LIFE LIFTERS, INC.

MEDICARE: FAMILY LIFE LIFTERS, 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
1251B00000XCase Management Agency
2251S00000XCommunity/Behavioral Health Agency
3101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1386436558
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY LIFE LIFTERS, INC.
Provider Business Mailing Address
First Line : 1151 BLUE HILLS AVE
Second Line :
City : BLOOMFIELD
State : CT
Zip : 06002-2721
Country : US
Telephone Number : 860-243-6520
Fax Number :
Provider Business Practice Location Address
First Line : 1151 BLUE HILLS AVE
Second Line :
City : BLOOMFIELD
State : CT
Zip : 06002-2721
Country : US
Telephone Number : 860-243-6520
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. LEROY BAILEY III
Credential : PHD
Telephone Number : 860-243-6520
Provider Enumeration Date : 05/21/2025
Last Update Date : 05/21/2025

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Directions to “FAMILY LIFE LIFTERS, INC. ” Practice Location

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