Organization · NPI-2

A Lift For Life Outreach Center, INC.

Home Health · Dallas, TX

NPI number1033598685
StatusActive
Last updated in NPPESMay 28, 2015

Details

NPI
1033598685
Entity type
Organization (NPI-2)
Legal business name
A Lift For Life Outreach Center, INC.
Organization subpart
No
Enumeration date
May 28, 2015
Last updated
May 28, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
251V00000X Voluntary or Charitable––

Practice location

5621 Parkdale Dr
Dallas, TX 75227-3207

Phone 214-367-0600 · Fax 214-367-0602

Mailing address

5621 Parkdale Dr
Dallas, TX 75227-3207

Phone 214-367-0600 · Fax 214-367-0602

Authorized official

Clarence Giddens
Executive Director
2143670600

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