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 |