Organization
LIFE CHANGING SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERLAND BAKER (DIRECTOR)
(904) 566-1955
Entity
Organization
Contact information
Practice address
3452 LIVE OAK HOLLOW DRIVE, ORANGE PARK, FL 32065-3206
(190) 432-3301
(904) 323-3019
Mailing address
3452 LIVE OAK HOLLOW DR, ORANGE PARK, FL 32065-2525
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
265852549
FL
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265852549
—
FL
Enumeration date
12/04/2017
Last updated
06/16/2018
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