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Organization

LIVEWELL ALLIANCE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANYA MARISSE BOUNDS (DIR OF REV & REIMBURSEMENT)
(860) 628-3059
Entity
Organization

Contact information

Practice address
1261 S MAIN ST, PLANTSVILLE, CT 06479-1750
(860) 628-9000
Mailing address
1261 S MAIN ST, PLANTSVILLE, CT 06479-1750
(860) 628-9000

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
009647
CT
225X00000X
Occupational Therapist
Primary
003405
CT

Other

Enumeration date
05/09/2017
Last updated
03/31/2022
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