Life Change Outreach Organization

NPI #1992057723 in Mascotte, Florida

Provider Information

NPI Number
1992057723
Entity Type
Organization
Organization Name
Life Change Outreach Organization
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Oct 3, 2012
Last Updated
Oct 3, 2012

Practice Location

Address
15508 WILLET CT
State
Florida
ZIP Code
34753-9102
Phone
(352) 255-6458

Authorized Official

Name
MRS. NABUCHI GRACE ANDERSON
Title
OWNER
Phone
(352) 255-6458

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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