| NPI | 1669989901 |
|---|---|
| Other Name | HEALTHY LIVING WELLNESS AND HEALTHCARE, LLC |
| Entity Type | Organization |
| Authorized Contact | TIERRA NICOLE WIDDER Authorized Official 843-617-3226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-11-19 |