# LIVING WELL HOME CARE, LLC

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

## Provider details

- **NPI number:** 1982764932
- **Authorized official:** PHYLLIS J BRIGGS (DIRECTOR - MEDICAL SERVICES)
- **Authorized official phone:** (636) 629-9994

## Contact information

- **Practice address:** 1351 PARKWAY DR, SAINT CLAIR, MO 63077-2438
- **Practice address phone:** (636) 629-9994
- **Practice address fax:** (636) 629-9945
- **Mailing address:** 1351 PARKWAY DR, SAINT CLAIR, MO 63077-2438
- **Mailing address phone:** (636) 629-9994
- **Mailing address fax:** (636) 629-9945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0007754 | MO | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 08/22/2020