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Organization

CHANGES OF CHOICE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS LANEDRA N MANNING (CEO)
(404) 328-1418
Entity
Organization

Contact information

Practice address
2223 STARLINE DR, DECATUR, GA 30032-5631
(404) 328-1418
(404) 328-1499
Mailing address
2223 STARLINE DR, DECATUR, GA 30032-5631
(404) 328-1418
(404) 328-1499

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
338800744A
PROVIDER NUMBER
GA
Enumeration date
01/02/2012
Last updated
01/02/2012
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