Life Change Outreach Organization
Organization Active NPI Case Manager/Care Coordinator · Mascotte, FL
NPI 1992057723 · NPPES record last updated Oct 3, 2012
Key facts
- NPI
- 1992057723
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Legal business name
- LIFE CHANGE OUTREACH ORGANIZATION
- Practice address
- 15508 Willet CT
Mascotte, FL 34753-9102 - Phone
- (352) 255-6458
- NPI assigned
- Oct 3, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Nabuchi Grace Anderson
- Title
- Owner
- Phone
- (352) 255-6458
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Life Change Outreach Organization
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator |
171M00000X | Yes |
Addresses
Primary practice location
15508 Willet CT
Mascotte, FL 34753-9102
Mailing address
15508 Willet CT
Mascotte, FL 34753-9102
Phone (352) 255-6458
Other providers in Mascotte, FL
- Helens West Inc.
- Eric J Henry
- Ketresia Hilton
- Humble Healings, LLC
- Jonesha Lafong
- Life Change Outreach Organization, Inc
- Life Change Outreach Organization, Inc
- Amber Lively
- Lowell F Clark MD PA
- Alicia Ann Meeks
All providers in Mascotte, FL · Case Manager/Care Coordinator in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.