# LIVING HEALTH & WELLNESS CENTER

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

## Provider details

- **NPI number:** 1578887964
- **Authorized official:** SANDE R JACOBSON (OWNER)
- **Authorized official phone:** (303) 447-1625

## Contact information

- **Practice address:** 1625 FOLSOM ST, BOULDER, CO 80302-6717
- **Practice address phone:** (303) 447-1625
- **Practice address fax:** (303) 443-9335
- **Mailing address:** 1625 FOLSOM ST, BOULDER, CO 80302-6717
- **Mailing address phone:** (303) 447-1625
- **Mailing address fax:** (303) 443-9335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 6260 | CO | Yes |

## Other

- **Enumeration date:** 03/15/2010
- **Last updated:** 03/15/2010