Organization
LIVEWELL HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIKA BECKETT MBA (EXECUTIVE OFFICER)
(310) 714-1376
Entity
Organization
Contact information
Practice address
6720 PAULINE DR, CHAPEL HILL, NC 27514-9781
(919) 403-6718
Mailing address
5301 BEETHOVEN ST, LOS ANGELES, CA 90066-7061
(310) 776-7082
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL068028
NC
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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