| NPI | 1801033618 |
|---|---|
| Doing Business As | LIVINGWELL PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ROCHELLE LANGFORD COLLINS Physician 860-243-3315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 042735) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2016-04-05 |