# LIVING LIFE

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

## Provider details

- **NPI number:** 1972152908
- **Authorized official:** ERICA JACKSON (OWNER)
- **Authorized official phone:** (757) 696-1806

## Contact information

- **Practice address:** 595 SOUTHLAKE BLVD, SUITE B, NORTH CHESTERFIELD, VA 23236-4942
- **Practice address phone:** (757) 696-1806
- **Mailing address:** 7305 HANCOCK VILLAGE DR, PO BOX 124, CHESTERFIELD, VA 23832-1369
- **Mailing address phone:** (804) 307-4589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 364SH0200X | Home Health Clinical Nurse Specialist | — | NULL | — |
| 364SH0200X | Home Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 09/11/2019
- **Last updated:** 03/30/2020