| NPI | 1134829567 |
|---|---|
| Doing Business As | LIVING WELL PERSONAL CARE HOME LLC |
| Entity Type | Organization |
| Authorized Contact | ANGENETTE YVONNE AGAMA Owner/Administrator 678-829-3499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-09 |