Organization
A LIFT FOR LIFE OUTREACH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE GIDDENS (EXECUTIVE DIRECTOR)
(214) 367-0600
Entity
Organization
Contact information
Practice address
5621 PARKDALE DR, DALLAS, TX 75227-3207
(214) 367-0600
(214) 367-0602
Mailing address
5621 PARKDALE DR, DALLAS, TX 75227-3207
(214) 367-0600
(214) 367-0602
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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