Organization
LLIVE WELL ICF INC
Active
Other names
Llive Well ICF/DO-N
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXIS NIXON PA-C/DRHED. (ADMIN)
(323) 445-1522
Entity
Organization
Contact information
Practice address
11053 SHARP AVENUE, MISSION HILLS, CA 91345
(818) 639-6379
(818) 285-3910
Mailing address
11053 SHARP AVENUE, MISSION HILLS, CA 91345
(818) 639-6379
(818) 285-3910
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/30/2014
Last updated
05/31/2024
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