Life Change Outreach Organization, INC

NPI #1982036133 in Mascotte, Florida

Provider Information

NPI Number
1982036133
Entity Type
Organization
Organization Name
Life Change Outreach Organization, INC
Primary Specialty
Case Management
Enumeration Date
Jul 30, 2013
Last Updated
Jul 30, 2013

Practice Location

Address
55 BLUFF LAKE RD
Address 2
SUITE A
State
Florida
ZIP Code
34753-9501
Phone
(352) 255-6458

Authorized Official

Name
MRS. NABUCHI G ANDERSON, REGISTERED MHC
Title
PROGRAM MANAGER, OWNER
Phone
(352) 255-6458

Specialties & Taxonomy Codes

Specialty
Home Health
In Home Supportive Care
Case Management

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