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Contact Information

CHANGE CENTER FOR VITALITY
400 W CAPITOL AVE
STE 100D
LITTLE ROCK, AR72201-3436
 Phone: 501-324-2649
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CHANGE CENTER FOR VITALITY

NPI Number 1720390362
LBN Legal business name CHANGE CENTER FOR VITALITY
Authorized official DEBRA VELEZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/12/2010
Last updated 07/12/2010 - About 16 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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