# LIVE WELL LTD

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

## Provider details

- **NPI number:** 1871366773
- **Authorized official:** CORA ROSE MATTESON PHYSICIAN ASSISTANT (MEMBER)
- **Authorized official phone:** (303) 929-4797

## Contact information

- **Practice address:** 7808 S FLOWER ST, LITTLETON, CO 80128-9324
- **Practice address phone:** (720) 815-9303
- **Practice address fax:** (303) 219-7871
- **Mailing address:** 7808 S FLOWER ST, LITTLETON, CO 80128-9324
- **Mailing address phone:** (720) 815-9303
- **Mailing address fax:** (303) 219-7871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/02/2023
- **Last updated:** 11/02/2023
