Provider Demographics
NPI:1215657002
Name:WELL IMPROVED LIVING LLC
Entity type:Organization
Organization Name:WELL IMPROVED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NDAYISHIMIYE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSHIMISHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-378-7176
Mailing Address - Street 1:5964 S ANTRIM LOOP
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85706-0011
Mailing Address - Country:US
Mailing Address - Phone:920-378-7176
Mailing Address - Fax:
Practice Address - Street 1:5964 S ANTRIM LOOP
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85706-0011
Practice Address - Country:US
Practice Address - Phone:920-378-7176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty