| Living Well Healthcare, Llc | |
|
270 W Main St Elkton MD 21921-5232 | |
| (410) 620-4322 | |
| (410) 620-4342 |
| Full Name | Living Well Healthcare, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 270 W Main St, Elkton, Maryland |
| Authorized Official Name and Position | William Michael Clifford (OWNER) |
| Authorized Official Contact | 4106204322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Healthcare, Llc 270 W Main St Elkton MD 21921-5232 Ph: (410) 620-4322 | Living Well Healthcare, Llc 270 W Main St Elkton MD 21921-5232 Ph: (410) 620-4322 |
| NPI Number | 1720696362 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 11/03/2022 |
| Medicare PECOS PAC ID | 7113393802 |
|---|---|
| Medicare Enrollment ID | O20221020002701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720696362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Krissy Oudinot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861466922 PECOS PAC ID: 1254374721 Enrollment ID: I20220728001128 |
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