Organization
WAY OF LIFE, TCM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR THOMAS (CEO)
(407) 287-6075
Entity
Organization
Contact information
Practice address
1221 W COLONIAL DR, SUITE 100, ORLANDO, FL 32804-7163
(407) 287-6075
(407) 347-2093
Mailing address
1221 W COLONIAL DR, SUITE 100, ORLANDO, FL 32804-7163
(407) 287-6075
(407) 347-2093
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
004873100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004873100
—
FL
Enumeration date
01/29/2013
Last updated
01/29/2013
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