Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

A Fuller Lifestyle Group Home Inc

Organization Developmentally Disabled Services Day Training Agency · NPI 1760335582

A Fuller Lifestyle Group Home Inc is a Developmentally Disabled Services Day Training Agency in Jacksonville, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8567 Cheryl Ann Ln
Jacksonville, FL 32244-1272
Phone: (904) 894-9979
Fax: (904) 894-9979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X

Record details

NPI number1760335582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lorenzo Fuller — President · (904) 894-9979
NPI enumeratedFebruary 19, 2026
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026
Mailing address4349 Boat Club Dr, Jacksonville, FL 32277-1202

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