| NPI | 1609102573 |
|---|---|
| Former Legal Business Name | LIVEWELL HEALTH SCREENS |
| Entity Type | Organization |
| Authorized Contact | KAREN WILKINS Owner/Managing Member 601-450-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |