Life Christian Outreach, Inc.

NPI #1194021196 in Columbia, Missouri

Provider Information

NPI Number: 1194021196
Entity Type: Organization
Organization Name: Life Christian Outreach, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 8, 2011
Last Updated: Feb 8, 2011

Practice Location

Address: 1250 N DOZIER STATION RD
City: Columbia
State: Missouri
ZIP Code: 65202-7798
Phone: (573) 256-6155

Authorized Official

Name: MR. GREG ORDWAY
Title: VICE PRESIDENT
Phone: (573) 256-6155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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