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Individual

ELLEN LIVINGSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
195 INDIAN LAKE BLVD, HENDERSONVILLE, TN 37075-6448
(615) 826-9223
Mailing address
129 CONNIE DR, HENDERSONVILLE, TN 37075-4122
(615) 389-7924

Taxonomy

Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary

Other

Enumeration date
09/08/2021
Last updated
09/08/2021
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