Healthcare Provider Details

I. General information

NPI: 1023934437
Provider Name (Legal Business Name): LIVE WELL HOME CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 N CHURCH ST
MANNING SC
29102-3310
US

IV. Provider business mailing address

410 N CHURCH ST
MANNING SC
29102-3310
US

V. Phone/Fax

Practice location:
  • Phone: 803-917-6840
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LAWANDA POMPEY
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 803-917-6840