Organization
LIVEWELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN-MARIE BLACKWELL OTR/L (OWNER)
(914) 648-9086
Entity
Organization
Contact information
Practice address
12010 CHASE CROSSING CIRCLE, N BETHESDA, MD 20852
(914) 648-9086
Mailing address
12010 CHASE CROSSING CIRCLE, N BETHESDA, MD 20852
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
07301
MD
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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