Lively Healthcare Services, LLC

NPI #1881999118 in Irving, Texas

Provider Information

NPI Number
1881999118
Entity Type
Organization
Organization Name
Lively Healthcare Services, LLC
Primary Specialty
Home Health
Enumeration Date
Jan 18, 2011
Last Updated
Jul 11, 2013

Practice Location

Address
1801 CRAPE MYRTLE CIR
City
Irving
State
Texas
ZIP Code
75063-8416
Phone
(972) 910-0705

Authorized Official

Name
DAWN MONTGOMERY
Title
ADMINISTRATOR
Phone
(972) 910-0705

Specialties & Taxonomy Codes

Specialty
Home Health

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