| NPI | 1720250673 |
|---|---|
| Doing Business As | LIVE LONG WELL CARE OF INDIAN RIVER COUNTY |
| Entity Type | Organization |
| Authorized Contact | DONALD THOMPSON Manager 704-246-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |