| Living Well Home Services Llc | |
|
25900 Greenfield Rd Ste 503 Oak Park MI 48237-1893 | |
| (313) 402-4570 | |
| (313) 731-0389 |
| Full Name | Living Well Home Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 25900 Greenfield Rd Ste 503, Oak Park, Michigan |
| Authorized Official Name and Position | Alexis Deanna Mcdonald (OWNER) |
| Authorized Official Contact | 3134024570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Home Services Llc 16500 Joy Rd Unit 28138 Detroit MI 48228-0604 Ph: (313) 402-4570 | Living Well Home Services Llc 25900 Greenfield Rd Ste 503 Oak Park MI 48237-1893 Ph: (313) 402-4570 |
| NPI Number | 1225450760 |
|---|---|
| Provider Enumeration Date | 01/17/2014 |
| Last Update Date | 01/20/2022 |
| Certification Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225450760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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