Life Changing World Outreach Community Development Corporation INC
Assisted Living Facility, Assisted Living, Behavioral Disturbances in Memphis, TN. Organization (NPI-2).
NPI number1003607367
StatusActive
Last updated in NPPESMay 15, 2025
Details
- NPI
- 1003607367
- Entity type
- Organization (NPI-2)
- Legal business name
- Life Changing World Outreach Community Development Corporation INC
- Organization subpart
- No
- Enumeration date
- May 15, 2025
- Certification date
- May 15, 2025
- Last updated
- May 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3104A0630X | Assisted Living Facility, Assisted Living, Behavioral Disturbances | – | – | Yes |
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | |
| 310400000X | Assisted Living Facility | – | – |
Other names
- Life Changing World Out Reach, INC. (Former Legal Business Name)
Practice location
952 Decatur StMemphis, TN 38107-2703
Phone 901-779-0424
Mailing address
952 Decatur StMemphis, TN 38107-2703
Phone 901-779-0424
Authorized official
Brenda A. Futch
Co-Founder /Executive Director
9014873954
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