Organization
LIVING WELL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE COREY SANDERS (OWNER)
(803) 730-2947
Entity
Organization
Contact information
Practice address
4500 HARD SCRABBLE RD, UNIT 534, COLUMBIA, SC 29229-9468
(803) 730-2947
Mailing address
4500 HARD SCRABBLE RD, UNIT 534, COLUMBIA, SC 29229-9468
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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