Living Change Corporation

LBN: Living Change Corporation
Living Change Corporation is an health care organization with primary practice located at 301 Casteel Rd Sw , Marietta GA 30064-1611. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Living Change Corporation can be contacted via phone (678) 570-0880, or through Coulthurst, Carol via phone (678) 570-0880.

Contact Information

Primary practice address
301 Casteel Rd Sw Marietta GA 30064-1611
Phone: (678) 570-0880
Fax: (678) 290-2850
Website:
Map and Directions
Authorized official contact:
Name: Coulthurst, Carol
Phone: (678) 570-0880

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X CLA005765 Georgia

Profile Details

NPI number 1902387400
LBN Legal business name Living Change Corporation
DBA Doing business as
Authorized official Coulthurst, Carol
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2018
Last updated Aug 23rd, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902387400 NPPES
Georgia MEDICAID 587942289A

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