| NPI | 1548529449 |
|---|---|
| Doing Business As | LIVING WELL MEDICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | ROBERT ALLEN ESTY Chief Operating Officer 469-575-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2019-07-25 |