Organization
LIVINGWELL N-HOME THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELO TENUTA (PRESIDENT CEO)
(262) 925-5000
Entity
Organization
Contact information
Practice address
3921 30TH AVE STE B1, KENOSHA, WI 53144-1957
(262) 909-2874
(262) 652-6305
Mailing address
600 52ND ST STE 240, KENOSHA, WI 53140-3423
(262) 925-5004
(262) 925-5001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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