Provider Demographics
NPI:1407330418
Name:LIVINGWELL BUSINESS GROUP INC
Entity Type:Organization
Organization Name:LIVINGWELL BUSINESS GROUP INC
Other - Org Name:INTEGRITY MEDICAL & WELLNESS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CHINEDU
Authorized Official - Middle Name:CAROLYNE
Authorized Official - Last Name:OKAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-BC
Authorized Official - Phone:817-266-8583
Mailing Address - Street 1:912 WRIGHT ST STE A
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-4759
Mailing Address - Country:US
Mailing Address - Phone:682-554-7560
Mailing Address - Fax:972-522-0088
Practice Address - Street 1:912 WRIGHT ST STE A
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-4759
Practice Address - Country:US
Practice Address - Phone:682-554-7560
Practice Address - Fax:972-522-0088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-17
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care