# LIVE LONG WELL CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Live Long Well Care of Marsh's Edge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013371251
- **Authorized official:** DONALD O THOMPSON JR. (OWNER)
- **Authorized official phone:** (704) 246-1620

## Contact information

- **Practice address:** 136 MARSHS EDGE LN, ST SIMONS ISLAND, GA 31522-8898
- **Practice address phone:** (912) 291-2006
- **Practice address fax:** (912) 291-2098
- **Mailing address:** 3530 TORINGDON WAY, SUITE 204, CHARLOTTE, NC 28277
- **Mailing address phone:** (704) 246-1620
- **Mailing address fax:** (704) 246-1621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/13/2016
- **Last updated:** 04/13/2016