Organization
LIVEWELL ALLIANCE, INC.
Active
Other names
LiveWell
Organization subpart
No
Provider details
NPI number
Authorized official
ANYA MARISSE BOUNDS (DIR. OF REV & REIMBURSEMENT)
(860) 628-3059
Entity
Organization
Contact information
Practice address
1261 S MAIN ST, PLANTSVILLE, CT 06479-1720
(860) 628-9000
(860) 621-8083
Mailing address
1261 S MAIN ST, PLANTSVILLE, CT 06479-1720
(860) 628-9000
(860) 621-8083
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
2093-C
CT
314000000X
Skilled Nursing Facility
2093-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020933
—
CT
Enumeration date
07/06/2006
Last updated
03/31/2022
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