# LIVING WELL ENTERPRISES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Living Well Family Care Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508125642
- **Authorized official:** JACQUELINE THOMPSON (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (919) 255-2404

## Contact information

- **Practice address:** 5932 SANDY FORKS RD, RALEIGH, NC 27609-3814
- **Practice address phone:** (919) 255-2404
- **Mailing address:** 5616 OLD FORGE CIR, RALEIGH, NC 27609-4032
- **Mailing address phone:** (919) 255-2404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-092-175 | NC | Yes |

## Other

- **Enumeration date:** 05/10/2012
- **Last updated:** 05/10/2012