| NPI | 1174072466 |
|---|---|
| Doing Business As | LIVING WELL WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | EVAN NEPTUNE Manager 407-429-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |