# GREATER HARVEST COMMUNITY OUTREACH LIFE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greater Harvest Community Outreach Life Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689228884
- **Authorized official:** DR. GERALD EALEY DO,MS (OWNER)
- **Authorized official phone:** (786) 565-8377

## Contact information

- **Practice address:** 4888 NW 183RD ST STE 215, MIAMI GARDENS, FL 33055-2943
- **Practice address phone:** (954) 591-0896
- **Mailing address:** 17950 NW 22ND CT, MIAMI GARDENS, FL 33056-3706
- **Mailing address phone:** (786) 565-8377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/26/2019
- **Last updated:** 07/26/2019