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General NPI Number Information
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NPI Number | 1326249483
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Entity Type | Organization
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Legal Business Name | LIVINGWELL, LLC
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1944 N ELM ST
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City | HENDERSON
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State | KY
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Zip | 42420-2609
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Country | US
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Telephone | 812-453-5992
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Fax |
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Provider Business Mailing Address
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Address Line | 2323 SELZER RD
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City | EVANSVILLE
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State | IN
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Zip | 47712-3879
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Country | US
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Telephone | 812-424-2300
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Fax | 812-303-1105
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Authorized Official
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Title or Position | CEO
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Name | MRS. HEATHER M. WEBBER
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Credential |
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Telephone | 812-457-1595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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