# LIFE CHANGER HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447883038
- **Authorized official:** DR. AUGUSTUS DEE ROBERTS, SR. (ADMINSTRATOR)
- **Authorized official phone:** (301) 675-1283

## Contact information

- **Practice address:** 2509 SENATOR AVE, DISTRICT HEIGHTS, MD 20747-3359
- **Practice address phone:** (301) 675-1283
- **Mailing address:** 2509 SENATOR AVE, DISTRICT HEIGHTS, MD 20747-3359
- **Mailing address phone:** (301) 675-1283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2020
- **Last updated:** 02/21/2020