TIMOTHY LIVELY

BEMIDJI, MN
NPI1538531058
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
(Licence: MN  370453)
Enumeration Date2015-10-23
Last Update Date2015-10-23
Business Address
-- TIMOTHY LIVELY
2524 HANNAH AVE NW
BEMIDJI, MN 56601-2110
Phone number: 218-210-2100
Mailing Address
-- TIMOTHY LIVELY
2586 7TH AVE E
NORTH ST PAUL, MN 55109-3083
Phone number: 651-633-7300
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