Individual
PROF. ISREAL LIVINGSTON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
173 SW OVERALL ST, GREENVILLE, FL 32331-3312
(850) 524-6114
Mailing address
173 SW OVERALL ST, GREENVILLE, FL 32331-3312
(850) 524-6114
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
CNA72871
FL
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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