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

Impact for Life Developmental Care LLC

Organization Developmentally Disabled Services Day Training Agency · NPI 1629430848

Impact for Life Developmental Care LLC is a Developmentally Disabled Services Day Training Agency in Jacksonville, Florida. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9541 103rd St 1301
Jacksonville, FL 32210-0323
Phone: (904) 482-8085
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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 number1629430848
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shenavian Burns — Member Manager · (904) 482-8085
NPI enumeratedMarch 26, 2016
Last updated in NPPESMarch 26, 2016
Mailing address9541 103rd St, 1301, Jacksonville, FL 32210-0323

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