# LIVINGWELL N-HOME THERAPY LLC

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

## Provider details

- **NPI number:** 1164912689
- **Authorized official:** CARMELO TENUTA (PRESIDENT CEO)
- **Authorized official phone:** (262) 925-5000

## Contact information

- **Practice address:** 3921 30TH AVE STE B1, KENOSHA, WI 53144-1957
- **Practice address phone:** (262) 909-2874
- **Practice address fax:** (262) 652-6305
- **Mailing address:** 600 52ND ST STE 240, KENOSHA, WI 53140-3423
- **Mailing address phone:** (262) 925-5004
- **Mailing address fax:** (262) 925-5001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2018
- **Last updated:** 05/10/2018