# LIVEWELL, LLC

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

## Provider details

- **NPI number:** 1518354539
- **Authorized official:** MS. DAWN-MARIE BLACKWELL OTR/L (OWNER)
- **Authorized official phone:** (914) 648-9086

## Contact information

- **Practice address:** 12010 CHASE CROSSING CIRCLE, N BETHESDA, MD 20852
- **Practice address phone:** (914) 648-9086
- **Mailing address:** 12010 CHASE CROSSING CIRCLE, N BETHESDA, MD 20852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 07301 | MD | Yes |

## Other

- **Enumeration date:** 04/16/2015
- **Last updated:** 04/16/2015