Provider Demographics
NPI:1467232199
Name:HEALTHY LIVING SOLUTIONS
Entity Type:Organization
Organization Name:HEALTHY LIVING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEAYE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:401-699-1390
Mailing Address - Street 1:15 21ST ST S STE 209
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-1435
Mailing Address - Country:US
Mailing Address - Phone:401-699-1390
Mailing Address - Fax:
Practice Address - Street 1:15 21ST ST S STE 209
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-1435
Practice Address - Country:US
Practice Address - Phone:401-699-1390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care