LIFE CHANGE OUTREACH ORGANIZATION

MASCOTTE, FL
NPI1992057723
Entity TypeOrganization
Authorized ContactNABUCHI GRACE ANDERSON
Owner
352-255-6458
Organization Subpart ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-10-03
Last Update Date2012-10-03
Business Address
LIFE CHANGE OUTREACH ORGANIZATION
15508 WILLET CT
MASCOTTE, FL 34753-9102
Phone number: 352-255-6458
Mailing Address
LIFE CHANGE OUTREACH ORGANIZATION
15508 WILLET CT
MASCOTTE, FL 34753-9102
Phone number: 352-255-6458
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