Organization
LIFE CHRISTIAN OUTREACH, INC.
Active
Other names
LIFE Homes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG ORDWAY (VICE PRESIDENT)
(573) 256-6155
Entity
Organization
Contact information
Practice address
1250 N DOZIER STATION RD, COLUMBIA, MO 65202-7798
(573) 256-6155
(573) 256-6156
Mailing address
1250 N DOZIER STATION RD, COLUMBIA, MO 65202-7798
(573) 256-6155
(573) 256-6156
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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