Organization
LIVING FOR A CHANGE SUPPORT SERVICES & RESIDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE TUCKER (OWNER)
(502) 684-1371
Entity
Organization
Contact information
Practice address
1439 S BROOK ST APT 4, LOUISVILLE, KY 40208-2043
(502) 684-1371
Mailing address
1439 S BROOK ST APT 4, LOUISVILLE, KY 40208-2043
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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