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LIFE CHRISTIAN OUTREACH INC. NPI 1194021196


NPI Information

NPI: 1194021196
Provider Name: LIFE CHRISTIAN OUTREACH, INC.

Doing Business As: LIFE HOMES

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1250 N DOZIER STATION RD
COLUMBIA, MO
ZIP 65202
Phone: (573) 256-6155
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LIFE CHRISTIAN OUTREACH, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Columbia, MO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. LIFE CHRISTIAN OUTREACH, INC. NPI is 1194021196. The provider is registered as an organization entity type.
The provider Is Doing Business As Life Homes.

The provider's business location address is:

1250 N DOZIER STATION RD
COLUMBIA, MO
ZIP 65202-798
Phone: (573) 256-6155
Fax: (573) 256-6156

The provider's authorized official is Greg Ordway .
The authorized official title is Vice President and has the following contact phone number (573) 256-6155.

The enumeration date for this NPI number is 2/8/2011 and was last updated on 2/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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