MEDICARE: LIVINGWELL HEALTH SERVICES

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1568235992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVINGWELL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	3543 CARRIAGE WALK LN
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20724-2052
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3543 CARRIAGE WALK LN
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20724-2052
Country	:	US
Telephone Number	:	240-547-7050
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DAVID ERHABOR
Credential	:
Telephone Number	:	240-547-7050

Provider Enumeration Date	:	11/07/2023
Last Update Date	:	11/07/2023

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Directions to “LIVINGWELL HEALTH SERVICES ” Practice Location

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