Organization
LIFE CHANGES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN JERSEY MSCJ, PS (PROGRAM EVALUATOR)
(775) 200-8827
Entity
Organization
Contact information
Practice address
1195 KINGS ROW, RENO, NV 89503-3524
(775) 685-8145
Mailing address
PO BOX 3137, SPARKS, NV 89432-3137
(775) 200-8827
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
Update your record
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