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Organization
LIFE CHANGING SUPPORT LLC
Active
Organization
LIFE CHANGING SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE COLLINS MCENTIRE (OWNER)
(281) 463-4147
Entity
Organization
Contact information
Practice address
7066 LAKEVIEW HAVEN DR STE 123, HOUSTON, TX 77095-5381
(281) 463-4147
Mailing address
7066 LAKEVIEW HAVEN DR STE 123, HOUSTON, TX 77095-5381
(281) 463-4147
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
01/05/2021
Last updated
11/30/2023
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