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Organization
LIVE LONG WELL CARE, LLC
Active
Organization
LIVE LONG WELL CARE, LLC
Active
Other names
Live Long Well Care of Brevard County
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD THOMPSON (MANAGER)
(704) 246-1616
Entity
Organization
Contact information
Practice address
8085 SPYGLASS HILL RD, VIERA, FL 32940-7984
(704) 246-1616
Mailing address
10706 SIKES PL STE 200, CHARLOTTE, NC 28277-8015
(704) 246-1616
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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