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Organization
CHANGING LIVES GROUP, LLC
Active
Organization
CHANGING LIVES GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE D WILLIAMS (MANAGER/OWNER)
(941) 883-1076
Entity
Organization
Contact information
Practice address
10500 CLEAR LAKE LOOP APT 105, FORT MYERS, FL 33908-2395
(941) 883-1076
Mailing address
2444 BRAMAN AVE, FORT MYERS, FL 33901-7302
(941) 883-1076
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
05/04/2022
Last updated
01/29/2025
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