# A LIVING LEGACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A Living Legacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437035615
- **Authorized official:** MARCIA WILSON (OWNER)
- **Authorized official phone:** (706) 289-1107

## Contact information

- **Practice address:** 3509 AMBASSADOR DR, COLUMBUS, GA 31907-2304
- **Practice address phone:** (706) 289-1107
- **Mailing address:** 3509 AMBASSADOR DR, COLUMBUS, GA 31907-2304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 08/13/2025
- **Last updated:** 08/13/2025
