Provider Demographics
NPI:1104682087
Name:LIVING IS VITAL FOR EVERYONE II INCORPORATED
Entity type:Organization
Organization Name:LIVING IS VITAL FOR EVERYONE II INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGILOO
Authorized Official - Middle Name:
Authorized Official - Last Name:GRECIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-930-4038
Mailing Address - Street 1:1441 WOODMONT LN NW # 2065
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2866
Mailing Address - Country:US
Mailing Address - Phone:424-240-4638
Mailing Address - Fax:
Practice Address - Street 1:1441 WOODMONT LN NW # 2065
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2866
Practice Address - Country:US
Practice Address - Phone:470-930-4038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care