Provider Demographics
NPI:1568210961
Name:LIVE WELL HOME HEALTH, INC
Entity type:Organization
Organization Name:LIVE WELL HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CFO, ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YUDIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-325-6124
Mailing Address - Street 1:11401 SW 40TH ST STE 339
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3300
Mailing Address - Country:US
Mailing Address - Phone:786-325-6124
Mailing Address - Fax:305-222-2223
Practice Address - Street 1:11401 SW 40TH ST STE 339
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3300
Practice Address - Country:US
Practice Address - Phone:786-325-6124
Practice Address - Fax:305-222-2223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health