Organization
LIVITUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHAEL W NOLEN JR. EMT-IV, CAC (CEO/BOARD MEMNER)
(901) 333-1031
Entity
Organization
Contact information
Practice address
3239 PLAYERS CLUB PARKWAY, MEMPHIS, TN 38125
(901) 761-4277
(901) 761-7876
Mailing address
PO BOX 381167, GERMANTOWN, TN 38183
(901) 761-4277
(901) 761-7876
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
L000000005751
TN
Other
Enumeration date
08/20/2010
Last updated
07/20/2012
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