# LIVEWELL HEALTHCARE

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

## Provider details

- **NPI number:** 1558258285
- **Authorized official:** JASON MORGAN PA (CEO)
- **Authorized official phone:** (719) 214-0270

## Contact information

- **Practice address:** 205 HARRIS CIR STE 102, TAHLEQUAH, OK 74464-8849
- **Practice address phone:** (719) 214-0270
- **Mailing address:** PO BOX 688, STILWELL, OK 74960-0688
- **Mailing address phone:** (719) 214-0270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2025
- **Last updated:** 07/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1831176924 | NPI | OK |