# LIVING WELL ADULT LIVING

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

## Provider details

- **NPI number:** 1730698929
- **Authorized official:** MS. LOUNA MATIEU RN (CO-DIRECTOR)
- **Authorized official phone:** (813) 240-6199

## Contact information

- **Practice address:** 2911 WHEELER ST, BARTOW, FL 33830-9316
- **Practice address phone:** (813) 240-6199
- **Mailing address:** 611 POINSETTIA RD, AUBURNDALE, FL 33823-4520
- **Mailing address phone:** (863) 595-5845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | RN9416352 | FL | — |
| 311ZA0620X | Adult Care Home Facility | RN9462914 | FL | Yes |

## Other

- **Enumeration date:** 09/20/2017
- **Last updated:** 09/20/2017