| Organization Name: | LIVITUP, INC |
| NPI Number: | 1386950939 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL W NOLEN (CEO/BOARD MEMNER) |
| Mailing Address: | 3239 Players Club Parkway Memphis |
| State: | TN US |
| Postal Code: | 38125 |
| Phone Number: | 9017614277 |
| Fax Number: | 9017617876 |
| NPI Enumeration Date: | 08/20/2010 |
| NPI Last Update Date: | 07/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | L000000005751 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |