| NPI | 1376286674 |
|---|---|
| Doing Business As | OWNER |
| Doing Business As | LIVELYCARE |
| Entity Type | Organization |
| Authorized Contact | HILDA ARDELLA LIVELY Owner 443-683-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2022-09-19 |