| NPI | 1225272214 |
|---|---|
| Doing Business As | LIVING WELL ELDER CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVE SOTAK Executive Director 304-469-2905 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: WV 1036-9138) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-11-11 |