# LIVING WELL HOLISTIC HEALTH, LLC

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

## Provider details

- **NPI number:** 1578184586
- **Authorized official:** JASON ROSKELLY LMT (OWNER)
- **Authorized official phone:** (440) 632-5814

## Contact information

- **Practice address:** 15065 KINSMAN RD STE 8, MIDDLEFIELD, OH 44062-9494
- **Practice address phone:** (440) 632-5814
- **Mailing address:** 15065 KINSMAN RD STE 8, MIDDLEFIELD, OH 44062-9494
- **Mailing address phone:** (440) 632-5814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2020
- **Last updated:** 04/30/2020