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Organization

LIVINGWELL MANOR HOMES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CONDRELLA R TYLER LPN (AGENCY OWNER)
(810) 382-1110
Entity
Organization

Contact information

Practice address
2001 MONTCLAIR AVE, FLINT, MI 48503-5345
(810) 382-1110
Mailing address
2001 MONTCLAIR AVE, FLINT, MI 48503-5345
(810) 382-1110

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
164W00000X
Licensed Practical Nurse
251J00000X
Nursing Care Agency
251S00000X
Community/Behavioral Health Agency
Primary
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
364SH0200X
Home Health Clinical Nurse Specialist
372500000X
Chore Provider
374U00000X
Home Health Aide
376K00000X
Nurse's Aide
385H00000X
Respite Care

Other

Enumeration date
04/24/2026
Last updated
04/24/2026
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