Organization
LIVING WELL IN GOOD COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL NELSON GEORGE (PRESIDENT)
(317) 430-0558
Entity
Organization
Contact information
Practice address
6284 RUCKER RD STE N, INDIANAPOLIS, IN 46220-4851
(317) 430-0558
Mailing address
6284 RUCKER RD STE N, INDIANAPOLIS, IN 46220-4851
(317) 430-0558
(317) 947-0595
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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