Organization
LIVEWELL FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY E ARKHURST NP (SECRETARY)
(301) 613-0529
Entity
Organization
Contact information
Practice address
3611 BRANCH AVE STE 404, TEMPLE HILLS, MD 20748
(240) 719-2587
(240) 830-2320
Mailing address
3611 BRANCH AVE STE 4043611, TEMPLE HILLS, MD 20748-1242
(240) 719-2587
(240) 830-2320
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
R190895
MD
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
02/01/2021
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