Organization
SYCAMORESOUL L.L.C.
Active
Other names
sedonamedplus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE W LIVANAVAGE JR. (PRESIDENT)
(928) 282-3535
Entity
Organization
Contact information
Practice address
55 SHELBY DR, A-3, SEDONA, AZ 86336-5300
(928) 282-3535
(928) 282-1107
Mailing address
55 SHELBY DR, A-3, SEDONA, AZ 86336-5300
(928) 282-3535
(928) 282-1107
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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