Organization
LIVELINESS SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSUELO R ESCALONA FONSECA (OWNER/PRESIDENT)
(929) 330-5902
Entity
Organization
Contact information
Practice address
5190 NW 167TH ST STE 201, MIAMI LAKES, FL 33014-6338
(929) 330-5902
(786) 657-2372
Mailing address
5190 NW 167TH ST STE 201, MIAMI LAKES, FL 33014-6338
(929) 330-5902
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
07/19/2024
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