MEDICARE: LIFTING INDIVIDUAL AND FAMILY EXPECTATIONS, 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
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1548652357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFTING INDIVIDUAL AND FAMILY EXPECTATIONS, INC.

Provider Business Mailing Address
First Line	:	1155 S. SEMORAN BLVD SUITE 1150
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-5512
Country	:	US
Telephone Number	:	321-296-9383
Fax Number	:	321-296-9383

Provider Business Practice Location Address
First Line	:	1155 S. SEMORAN BLVD SUITE 1150
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-5512
Country	:	US
Telephone Number	:	321-296-9383
Fax Number	:	321-296-9383

Authorized Official
Title or Position	:	PRESIDENT/CEO/OWNER
Name	:	MRS. KOREEN BAKER
Credential	:	MSW
Telephone Number	:	321-296-9383

Provider Enumeration Date	:	03/03/2015
Last Update Date	:	12/21/2015

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