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Organization

LIVING WELL HEALTHCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEANNA NICHOLS NP (OWNER)
(270) 407-5052
Entity
Organization

Contact information

Practice address
801 N MAIN ST, TOMPKINSVILLE, KY 42167-1002
(270) 407-5052
Mailing address
PO BOX 669, TOMPKINSVILLE, KY 42167-0669
(270) 407-5052

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
12/07/2011
Last updated
05/15/2024
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