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Organization

CHANGING LIVES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MORGAN HEFLIN (DIRECTOR)
(310) 770-1897
Entity
Organization

Contact information

Practice address
500 N RAINBOW BLVD STE 300, LAS VEGAS, NV 89107-1061
(310) 770-1897
Mailing address
5727 CANOGA AVE APT 138, WOODLAND HILLS, CA 91367-6500

Taxonomy

Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary

Other

Enumeration date
09/20/2020
Last updated
09/20/2020
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