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Organization
FLY LIKE AN EAGLE OUTREACH, INC.
Active
Organization
FLY LIKE AN EAGLE OUTREACH, INC.
Active
Other names
Fly Like An Eagle Outreach, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JOLLY GLOVER (EXECUTIVE DIRECTOR)
(310) 945-8305
Entity
Organization
Contact information
Practice address
3317 E 8TH ST, LONG BEACH, CA 90804-5008
(310) 945-8305
Mailing address
3317 E 8TH ST, LONG BEACH, CA 90804-5008
(310) 945-8305
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
NULL
251B00000X
Case Management Agency
Primary
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
251T00000X
PACE Provider Organization
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
07/31/2024
Last updated
08/01/2024
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