Organization
LIVING WITH PURPOSE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARJESTO MITCHELL (ADMINISTRATOR)
(510) 750-1184
Entity
Organization
Contact information
Practice address
1515 AURORA DR STE 102D, SAN LEANDRO, CA 94577-3105
(510) 750-1184
Mailing address
1515 AURORA DR STE 102G, SAN LEANDRO, CA 94577-3105
(510) 750-1184
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
05/12/2017
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