OrganizationActive
A Fuller Lifestyle Group Home Inc
NPI 1760335582 · Developmentally Disabled Services Day Training Agency · Jacksonville, FL
Provider details
- NPI number
- 1760335582
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lorenzo Fuller, President(904) 894-9979
Specialties & taxonomies
Agencies
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8567 Cheryl Ann Ln
Jacksonville, FL 32244-1272
Phone: (904) 894-9979
Fax: (904) 894-9979
Street-level locationGet directions
Mailing address
4349 Boat Club Dr
Jacksonville, FL 32277-1202
Registry dates
- Enumerated
- 2026-02-19
- Last updated
- 2026-02-19
- Certified
- 2026-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.