# HEALTHY LIVING FAMILY MEDICINE PLLC

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

## Provider details

- **NPI number:** 1730624164
- **Authorized official:** ULRIKE SHAON DONAHUE DO (PHYSICIAN)
- **Authorized official phone:** (814) 573-0227

## Contact information

- **Practice address:** 51 DELAWARE ST, STE 1, DU BOIS, PA 15801-2764
- **Practice address phone:** (814) 601-3113
- **Mailing address:** 103 HEISKEL DR, PORT MATILDA, PA 16870-7102
- **Mailing address phone:** (814) 573-0227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS015888 | PA | Yes |

## Other

- **Enumeration date:** 12/20/2016
- **Last updated:** 08/22/2024