Organization Name: | LIVINGSTON HEALTHCARE |
NPI Number: | 1568430791 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BREN LOWE (CEO) |
Mailing Address: | 504 S 13th St Livingston |
State: | MT US |
Postal Code: | 59047 |
Phone Number: | 4062225030 |
Fax Number: | 4062225040 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 05/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 10612 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |