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Organization
LIVE LONG WELL CARE, LLC
Active
Organization
LIVE LONG WELL CARE, LLC
Active
Other names
Live Long Well Care of Marsh's Edge
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD O THOMPSON JR. (OWNER)
(704) 246-1620
Entity
Organization
Contact information
Practice address
136 MARSHS EDGE LN, ST SIMONS ISLAND, GA 31522-8898
(912) 291-2006
(912) 291-2098
Mailing address
3530 TORINGDON WAY, SUITE 204, CHARLOTTE, NC 28277
(704) 246-1620
(704) 246-1621
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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