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Organization
LIVING WELL MANAGEMENT, INC
Active
Organization
LIVING WELL MANAGEMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL QUINTERO (CEO)
(954) 909-0407
Entity
Organization
Contact information
Practice address
3601 W COMMERCIAL BLVD, FORT LAUDERDALE, FL 33309-3300
(954) 560-5238
Mailing address
3601 W COMMERCIAL BLVD STE 21, FORT LAUDERDALE, FL 33309-3320
(954) 909-0407
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
02/19/2019
Last updated
12/23/2019
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