Organization
LIVGR8 HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGELA MAIN BS,MS (MANAGER/COACH)
(814) 715-4070
Entity
Organization
Contact information
Practice address
100 BRADFORD RD STE 320, WEXFORD, PA 15090-8488
(878) 465-2056
(878) 465-2057
Mailing address
100 BRADFORD RD STE 320, WEXFORD, PA 15090-8488
(878) 465-2056
(878) 465-2057
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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