| NPI | 1699398602 |
|---|---|
| Doing Business As | LIVING WELL HEALTH & WELLNESS CENTER #21336 |
| Entity Type | Organization |
| Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2022-06-14 |