# SOUTHERN LIVING CHILD CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326445149
- **Authorized official:** MRS. JENNIFER J WHITE MEMBER (MEMBER)
- **Authorized official phone:** (804) 550-8674

## Contact information

- **Practice address:** 6688 TATUM RD, DISPUTANTA, VA 23842-6902
- **Practice address phone:** (804) 550-8674
- **Mailing address:** 6688 TATUM RD, DISPUTANTA, VA 23842-6902
- **Mailing address phone:** (804) 550-8674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2014
- **Last updated:** 11/21/2014