Life Change Outreach Organization, INC

NPI #1225401912 in Mascotte, Florida

Provider Information

NPI Number: 1225401912
Entity Type: Organization
Organization Name: Life Change Outreach Organization, INC
Primary Specialty: Home Health
Enumeration Date: Nov 4, 2015
Last Updated: Nov 4, 2015

Practice Location

Address: 15508 WILLET CT
City: Mascotte
State: Florida
ZIP Code: 34753-9102
Phone: (352) 272-2799

Authorized Official

Name: MR. ANTHONY A ANDERSON
Title: PRESIDENT
Phone: (352) 272-2799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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