Provider Demographics
NPI:1144759267
Name:ALL WELL LIVING LLC
Entity type:Organization
Organization Name:ALL WELL LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ABBAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MUKHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-589-2369
Mailing Address - Street 1:2500 W LAKE MARY BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3501
Mailing Address - Country:US
Mailing Address - Phone:407-434-1557
Mailing Address - Fax:407-264-6544
Practice Address - Street 1:2500 W LAKE MARY BLVD STE 107
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3501
Practice Address - Country:US
Practice Address - Phone:407-434-1557
Practice Address - Fax:407-264-6544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL13017310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility