Organization
LIVEWELL HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORDELIA EKWUEME (ADMINISTRATOR)
(414) 204-6262
Entity
Organization
Contact information
Practice address
11512 N PORT WASHINGTON RD, SUITE 201D, MEQUON, WI 53092-3440
(414) 375-7051
(262) 643-4150
Mailing address
11512 N PORT WASHINGTON RD, SUITE 201D, MEQUON, WI 53092-3440
(414) 375-7051
(262) 643-4150
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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