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Organization
LIVING WELL ENTERPRISES, LLC
Active
Organization
LIVING WELL ENTERPRISES, LLC
Active
Other names
Living Well Family Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE THOMPSON (OWNER/ADMINISTRATOR)
(919) 255-2404
Entity
Organization
Contact information
Practice address
5932 SANDY FORKS RD, RALEIGH, NC 27609-3814
(919) 255-2404
Mailing address
5616 OLD FORGE CIR, RALEIGH, NC 27609-4032
(919) 255-2404
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-092-175
NC
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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