# FLY LIKE AN EAGLE OUTREACH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fly Like An Eagle Outreach, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972332674
- **Authorized official:** JOLLY GLOVER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (310) 945-8305

## Contact information

- **Practice address:** 3317 E 8TH ST, LONG BEACH, CA 90804-5008
- **Practice address phone:** (310) 945-8305
- **Mailing address:** 3317 E 8TH ST, LONG BEACH, CA 90804-5008
- **Mailing address phone:** (310) 945-8305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 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