| Live Well Assisted Living | |
|
12634 W Estero Ln Litchfield Park AZ 85340-5156 | |
| (602) 214-9544 | |
| (623) 266-4688 |
| Full Name | Live Well Assisted Living |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12634 W Estero Ln, Litchfield Park, Arizona |
| Authorized Official Name and Position | Desire Rusingizwa (PROGRAM DIRECTOR) |
| Authorized Official Contact | 6022149544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Assisted Living 12634 W Estero Ln Litchfield Park AZ 85340 Ph: (602) 214-9544 | Live Well Assisted Living 12634 W Estero Ln Litchfield Park AZ 85340-5156 Ph: (602) 214-9544 |
| NPI Number | 1295175719 |
|---|---|
| Provider Enumeration Date | 06/28/2013 |
| Last Update Date | 06/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295175719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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