Organization
LIVE TO 100, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRONE SHERROD (CEO)
(443) 787-8557
Entity
Organization
Contact information
Practice address
325 KENDRICK DR, ABERDEEN, MD 21001-2352
(443) 787-8557
Mailing address
325 KENDRICK DR, ABERDEEN, MD 21001-2352
(443) 787-8557
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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