Provider Demographics
NPI:1346528841
Name:LIVERITE HOME AND HEALTH CARE INC
Entity Type:Organization
Organization Name:LIVERITE HOME AND HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:IHERICHA
Authorized Official - Last Name:OSUJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-392-3784
Mailing Address - Street 1:801 SUMMIT AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-7856
Mailing Address - Country:US
Mailing Address - Phone:336-392-3784
Mailing Address - Fax:336-617-0714
Practice Address - Street 1:801 SUMMIT AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-7856
Practice Address - Country:US
Practice Address - Phone:336-392-3784
Practice Address - Fax:336-617-0714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-01
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization