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NPI Code Detail

MEDICARE: THE LIVING WELLS COMMUNITY AND DEVELOPMENT CENTER

MEDICARE: THE LIVING WELLS COMMUNITY AND DEVELOPMENT CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1265368955
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE LIVING WELLS COMMUNITY AND DEVELOPMENT CENTER
Provider Business Mailing Address
First Line : 336 E 243RD ST
Second Line :
City : EUCLID
State : OH
Zip : 44123-1403
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 336 E 243RD ST
Second Line :
City : EUCLID
State : OH
Zip : 44123-1403
Country : US
Telephone Number : 440-755-0299
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : ASHLEY WILSON
Credential : LSW
Telephone Number : 440-755-0299
Provider Enumeration Date : 06/20/2026
Last Update Date : 06/20/2026

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Directions to “THE LIVING WELLS COMMUNITY AND DEVELOPMENT CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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