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Organization
LIVING WELL ASSISTED LIVING AT HOME
Active
Organization
LIVING WELL ASSISTED LIVING AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESE ANTONIA TEN TUSSCHER PHD (CEO)
(415) 515-7618
Entity
Organization
Contact information
Practice address
202 DONAHUE ST, SAUSALITO, CA 94965-1029
(800) 805-7104
Mailing address
202 DONAHUE ST, SAUSALITO, CA 94965-1029
(800) 805-7104
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY 15799
CA
163WC2100X
Continence Care Registered Nurse
—
NULL
163WC2100X
Continence Care Registered Nurse
—
—
163WG0600X
Gerontology Registered Nurse
—
NULL
163WG0600X
Gerontology Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
372500000X
Chore Provider
—
NULL
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
NULL
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
NULL
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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