| Live Well Health Llc | |
|
15565 Northland Dr Suite 103w-b Southfield MI 48075 | |
| (248) 809-2094 | |
| Not Available |
| Full Name | Live Well Health Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 15565 Northland Dr, Southfield, Michigan |
| Authorized Official Name and Position | Sissy Tezera (OWNER) |
| Authorized Official Contact | 2488092094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Health Llc 15565 Northland Dr Suite 103w-b Southfield MI 48075 Ph: (248) 809-2094 | Live Well Health Llc 15565 Northland Dr Suite 103w-b Southfield MI 48075 Ph: (248) 809-2094 |
| NPI Number | 1548627847 |
|---|---|
| Provider Enumeration Date | 01/19/2016 |
| Last Update Date | 01/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548627847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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