# LIVING WELL HOME HEALTH CARE & SUPPORTIVE CARE

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

## Provider details

- **NPI number:** 1588190185
- **Authorized official:** TERESA TAYLOR (OWNER)
- **Authorized official phone:** (414) 231-3710

## Contact information

- **Practice address:** 6937 W. FOND DU LAC AVE, MIL, WI 53218
- **Practice address phone:** (414) 231-3710
- **Practice address fax:** (414) 231-3734
- **Mailing address:** P.O. BOX 241003, MILWAUKEE, WI 53224-2633
- **Mailing address phone:** (414) 231-3710
- **Mailing address fax:** (414) 231-3734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2017
- **Last updated:** 04/11/2022