Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
163WR0400X | |||
Nutrition Support |
163WN1003X | |||
Pain Management |
163WP0000X |
| NPI Number | 1437461936 |
| LBN Legal business name | LIVEWELL HEALTH, LLC |
| Authorized official | DIANNE HANSEN - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/13/2010 |
| Last updated | 07/13/2010 - About 16 years ago |
| Identifiers | n/a |
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