Organization
LIVING WELL FAMILY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LIDE (OWNER)
(336) 763-6998
Entity
Organization
Contact information
Practice address
3407 W WENDOVER AVE STE C, GREENSBORO, NC 27407-1584
(336) 763-6998
(336) 763-6783
Mailing address
3407 W WENDOVER AVE STE C, GREENSBORO, NC 27407-1584
(336) 763-6998
(336) 763-6783
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4070
NC
Other
Enumeration date
08/29/2016
Last updated
02/12/2019
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