Healthcare Provider Details

I. General information

NPI: 1699424622
Provider Name (Legal Business Name): LIVING WITH GUIDANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2022
Last Update Date: 03/18/2022
Certification Date: 03/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 STONEBRIDGE SQ
HAVELOCK NC
28532-9505
US

IV. Provider business mailing address

PO BOX 541
HAVELOCK NC
28532-0541
US

V. Phone/Fax

Practice location:
  • Phone: 125-265-2616
  • Fax:
Mailing address:
  • Phone: 252-626-5322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: LATOYA GATLING
Title or Position: OWNER
Credential:
Phone: 252-626-5322