Healthcare Provider Details

I. General information

NPI: 1861815573
Provider Name (Legal Business Name): LIVE IN BALANCE HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2014
Last Update Date: 01/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6731 NEW HAMPSHIRE AVE APT 507
TAKOMA PARK MD
20912-4863
US

IV. Provider business mailing address

6731 NEW HAMPSHIRE AVE APT 507
TAKOMA PARK MD
20912-4863
US

V. Phone/Fax

Practice location:
  • Phone: 301-332-1037
  • Fax:
Mailing address:
  • Phone: 301-332-1037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH CHANWA TURAY
Title or Position: CEO
Credential: MA
Phone: 301-331-1037