| NPI | 1720601875 |
|---|---|
| Doing Business As | LIVLY WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SUSANNAH 16163 IN OKUTORO-KETTER Certified Nurse Midwife 917-470-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-05-23 |
| Last Update Date | 2025-03-14 |