Provider First Line Business Practice Location Address:
840 HWY 321 N.
Provider Second Line Business Practice Location Address:
LIVING WELL HEALTH COOPERATIVE CLINIC
Provider Business Practice Location Address City Name:
LENOIR CITY
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37771
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-680-2732
Provider Business Practice Location Address Fax Number:
865-986-5332
Provider Enumeration Date:
12/03/2009