Organization
LIVING HEALTHY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA KAY STALLINGS (PRESIDENT)
(708) 343-0682
Entity
Organization
Contact information
Practice address
2205 W ROOSEVELT ROAD, BROADVIEW, IL 60155
(708) 343-0682
Mailing address
P.O. BOX 5002, RIVER FOREST, IL 60305
(708) 343-0682
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-222787
IL
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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