Organization
LIVING WELL HOLISTIC HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ROSKELLY LMT (OWNER)
(440) 632-5814
Entity
Organization
Contact information
Practice address
15065 KINSMAN RD STE 8, MIDDLEFIELD, OH 44062-9494
(440) 632-5814
Mailing address
15065 KINSMAN RD STE 8, MIDDLEFIELD, OH 44062-9494
(440) 632-5814
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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