MEDICARE: AGAINST ALL ODDS FACILITATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1831615061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAINST ALL ODDS FACILITATION

Provider Business Mailing Address
First Line	:	3524 BOULEVARD
Second Line	:
City	:	COLONIAL HGTS
State	:	VA
Zip	:	23834-1320
Country	:	US
Telephone Number	:	347-242-6358
Fax Number	:

Provider Business Practice Location Address
First Line	:	3524 BOULEVARD
Second Line	:
City	:	COLONIAL HGTS
State	:	VA
Zip	:	23834-1320
Country	:	US
Telephone Number	:	347-242-6358
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. LENORA DEAS
Credential	:	MSW
Telephone Number	:	347-242-6358

Provider Enumeration Date	:	08/18/2017
Last Update Date	:	07/21/2022

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Directions to “AGAINST ALL ODDS FACILITATION ” Practice Location

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