Provider Demographics
NPI:1487272357
Name:LIVING WELL SENIOR CARE INC.
Entity type:Organization
Organization Name:LIVING WELL SENIOR CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH AND WELLNESS
Authorized Official - Prefix:
Authorized Official - First Name:LEKESHIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:704-918-5494
Mailing Address - Street 1:4311 SCHOOL HOUSE CMNS # 140
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-7510
Mailing Address - Country:US
Mailing Address - Phone:704-918-5494
Mailing Address - Fax:800-878-7151
Practice Address - Street 1:140 CABARRUS AVE W
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-5150
Practice Address - Country:US
Practice Address - Phone:704-918-5494
Practice Address - Fax:800-878-7151
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE INTERNATIONAL CENTER FOR WELLNESS COUNSELING AND CONSULTING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-08
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty