Healthcare Provider Details

I. General information

NPI: 1356774475
Provider Name (Legal Business Name): LIVABILITY HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2013
Last Update Date: 08/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 HAYDEN ST
NASHUA NH
03060-5816
US

IV. Provider business mailing address

12 HAYDEN ST
NASHUA NH
03060-5816
US

V. Phone/Fax

Practice location:
  • Phone: 603-438-9937
  • Fax: 888-663-1258
Mailing address:
  • Phone: 603-438-9937
  • Fax: 888-663-1258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number03956
License Number StateNH

VIII. Authorized Official

Name: MS. SAN NHAT PHAM
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 603-438-9937