Organization
LIVING WELL HOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OCTAVIA ALTHEIMER DHA (CHIEF CARE OFFICER)
(815) 651-1766
Entity
Organization
Contact information
Practice address
7777 W LINCOLN HWY STE A1, FRANKFORT, IL 60423-9490
(815) 651-1766
Mailing address
7777 W LINCOLN HWY STE A1, FRANKFORT, IL 60423-9490
(815) 651-1766
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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