Organization
LIVING WELL MANAGEMENT, INC
Active
Parent organization
LIVING WELL MANAGEMENT, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVING WELL MANAGEMENT, INC
Authorized official
JOEL ALEJO QUINTERO (CEO)
(305) 342-8736
Entity
Organization
Contact information
Practice address
3601 W COMMERCIAL BLVD STE 21, FORT LAUDERDALE, FL 33309-3320
(954) 909-0407
(954) 909-0408
Mailing address
8725 NW 18TH TER STE 102, DORAL, FL 33172-2629
(305) 342-8736
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34545
AHCA
FL
Enumeration date
04/16/2019
Last updated
10/06/2021
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