Organization
LIVING WELL HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIOMARA DUDLEY (OWNER)
(813) 344-2519
Entity
Organization
Contact information
Practice address
9936 AZALEA BLOOM WAY APT 517, RIVERVIEW, FL 33578-4635
(813) 720-7314
Mailing address
9936 AZALEA BLOOM WAY APT 517, RIVERVIEW, FL 33578-4635
(813) 344-2519
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
06/24/2019
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