Organization
HEALTHY LIVING WELLNESS AND HEALTHCARE
Active
Other names
Healthy Living Wellness and Healthcare, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TIERRA NICOLE WIDDER (AUTHORIZED OFFICIAL)
(843) 617-3226
Entity
Organization
Contact information
Practice address
105 S FRANKLIN DR, FLORENCE, SC 29501-4364
(843) 617-3226
Mailing address
105 S FRANKLIN DR, FLORENCE, SC 29501-4364
(843) 617-3226
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
11/19/2018
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