Living Well Llc | |
1930 W Lincoln Ave Goshen IN 46526-5907 | |
(574) 534-2161 | |
Not Available |
Full Name | Living Well Llc |
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Speciality | Social Worker - Clinical |
Location | 1930 W Lincoln Ave, Goshen, Indiana |
Authorized Official Name and Position | Karena S Hochstetler (MENBER) |
Authorized Official Contact | 5745360395 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Living Well Llc 1930 W Lincoln Ave Goshen IN 46526-5907 Ph: (574) 534-2161 | Living Well Llc 1930 W Lincoln Ave Goshen IN 46526-5907 Ph: (574) 534-2161 |
NPI Number | 1215486360 |
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Provider Enumeration Date | 09/30/2016 |
Last Update Date | 10/05/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215486360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34007636A (Indiana) | Primary |
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