# LIVING WELL ASSISTED LIVING AT HOME

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

## Provider details

- **NPI number:** 1366740839
- **Authorized official:** DR. THERESE ANTONIA TEN TUSSCHER PHD (CEO)
- **Authorized official phone:** (415) 515-7618

## Contact information

- **Practice address:** 202 DONAHUE ST, SAUSALITO, CA 94965-1029
- **Practice address phone:** (800) 805-7104
- **Mailing address:** 202 DONAHUE ST, SAUSALITO, CA 94965-1029
- **Mailing address phone:** (800) 805-7104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 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