| Live Change Grow Corporation | |
|
1440 Virginia Ave Akron OH 44306-3610 | |
| (216) 242-9174 | |
| Not Available |
| Full Name | Live Change Grow Corporation |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1440 Virginia Ave, Akron, Ohio |
| Authorized Official Name and Position | Kimyatta K Turner (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2162429174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Change Grow Corporation 1700 W Market St Num 190 Akron OH 44313-7002 Ph: (216) 242-9174 | Live Change Grow Corporation 1440 Virginia Ave Akron OH 44306-3610 Ph: (216) 242-9174 |
| NPI Number | 1376917195 |
|---|---|
| Provider Enumeration Date | 11/17/2015 |
| Last Update Date | 11/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376917195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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