Organization
LIVING WELL ASSISTED LIVING AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESE ANTONIA TEN TUSSCHER PHD (CEO)
(415) 515-7618
Entity
Organization
Contact information
Practice address
202 DONAHUE ST, SAUSALITO, CA 94965-1029
(800) 805-7104
Mailing address
202 DONAHUE ST, SAUSALITO, CA 94965-1029
(800) 805-7104
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY 15799
CA
163WC2100X
Continence Care Registered Nurse
—
—
163WG0600X
Gerontology Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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