Organization
LIFE CHANGING FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY EASTER (PRESIDENT)
(901) 413-8621
Entity
Organization
Contact information
Practice address
4821 AMERICAN WAY, MEMPHIS, TN 38118-2471
(901) 413-8621
Mailing address
4821 AMERICAN WAY STE 222, MEMPHIS, TN 38118-2453
(901) 413-8621
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TN
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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