Organization
LIVE LONG WELL CARE, LLC
Active
Other names
Live Long Well Care of Marsh's Edge
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD O THOMPSON JR. (OWNER)
(704) 246-1620
Entity
Organization
Contact information
Practice address
136 MARSHS EDGE LN, ST SIMONS ISLAND, GA 31522-8898
(912) 291-2006
(912) 291-2098
Mailing address
3530 TORINGDON WAY, SUITE 204, CHARLOTTE, NC 28277
(704) 246-1620
(704) 246-1621
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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