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Organization
LIVING WELL HOME SERVICES LLC
Active
Organization
LIVING WELL HOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OCTAVIA ALTHEIMER DHA (CHIEF CARE OFFICER)
(815) 651-1766
Entity
Organization
Contact information
Practice address
7777 W LINCOLN HWY STE A1, FRANKFORT, IL 60423-9490
(815) 651-1766
Mailing address
7777 W LINCOLN HWY STE A1, FRANKFORT, IL 60423-9490
(815) 651-1766
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
385H00000X
Respite Care
—
NULL
385HR2055X
Child Mental Illness Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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