Organization
LIVE WELL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM B. HAENLE M.S., CAC DIPLOMATE (DIRECTOR)
(215) 968-7600
Entity
Organization
Contact information
Practice address
203 FLORAL VALE BLVD, SUITE 203, YARDLEY, PA 19067-5524
(215) 968-7600
Mailing address
203 FLORAL VALE BLVD, SUITE 203, YARDLEY, PA 19067-5524
(215) 968-7600
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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