| Livewell Direct Support, Llc | |
|
326 Patton Ave Wintersville OH 43953-3848 | |
| (740) 232-9138 | |
| Not Available |
| Full Name | Livewell Direct Support, Llc |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 326 Patton Ave, Wintersville, Ohio |
| Authorized Official Name and Position | Melissa Booth (CEO) |
| Authorized Official Contact | 7402329138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livewell Direct Support, Llc 326 Patton Ave Wintersville OH 43953-3848 Ph: (740) 232-9138 | Livewell Direct Support, Llc 326 Patton Ave Wintersville OH 43953-3848 Ph: (740) 232-9138 |
| NPI Number | 1972107043 |
|---|---|
| Provider Enumeration Date | 11/29/2020 |
| Last Update Date | 10/20/2022 |
| Certification Date | 10/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972107043 | NPI | - | NPPES |
| 0058808 | Medicaid | OH |
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