MEDICARE: LIVINGSTON JOB INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770586836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVINGSTON JOB INC

Provider Business Mailing Address
First Line	:	506B N WASHINGTON AVE
Second Line	:
City	:	LIVINGSTON
State	:	TX
Zip	:	77351-2840
Country	:	US
Telephone Number	:	936-327-7176
Fax Number	:	936-327-7178

Provider Business Practice Location Address
First Line	:	506B N WASHINGTON AVE
Second Line	:
City	:	LIVINGSTON
State	:	TX
Zip	:	77351-2840
Country	:	US
Telephone Number	:	936-327-7176
Fax Number	:	936-327-7178

Authorized Official
Title or Position	:	ASSISTANT MANAGER
Name	:	MRS. BONNIE HAWKINS
Credential	:
Telephone Number	:	936-327-7176

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/11/2011

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Directions to “LIVINGSTON JOB INC ” Practice Location

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