Organization
LIVING WELL CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DELICE COFFEY MA (CEO)
(919) 489-2254
Entity
Organization
Contact information
Practice address
1804 MLK JR. PARKWAY, SUITE 210, DURHAM, NC 27707-3587
(919) 489-2254
(919) 403-1551
Mailing address
1804 MLK JR. PARKWAY, SUITE 210, DURHAM, NC 27707-3587
(919) 489-2254
(919) 403-1551
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418098
—
NC
Enumeration date
12/20/2006
Last updated
08/22/2020
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