# LIVING WELL HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043550395
- **Authorized official:** ANDRE COREY SANDERS (OWNER)
- **Authorized official phone:** (803) 730-2947

## Contact information

- **Practice address:** 4500 HARD SCRABBLE RD, UNIT 534, COLUMBIA, SC 29229-9468
- **Practice address phone:** (803) 730-2947
- **Mailing address:** 4500 HARD SCRABBLE RD, UNIT 534, COLUMBIA, SC 29229-9468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 02/25/2013
- **Last updated:** 02/25/2013