Individual
TIMOTHY LIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 NORTHWOODS DR STE 240, ARDEN HILLS, MN 55112-6991
(651) 633-7300
(651) 633-7301
Mailing address
3900 NORTHWOODS DR STE 240, ARDEN HILLS, MN 55112-6991
(651) 633-7300
(651) 633-7301
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
370453
MN
Other
Enumeration date
10/23/2015
Last updated
05/01/2025
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