Provider Demographics
NPI:1619742848
Name:LIVING SOUND CARE LLC
Entity Type:Organization
Organization Name:LIVING SOUND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDOUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SIBOMANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-668-0792
Mailing Address - Street 1:5353 CANE RIDGE RD APT 424
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-3823
Mailing Address - Country:US
Mailing Address - Phone:615-668-0792
Mailing Address - Fax:
Practice Address - Street 1:5353 CANE RIDGE RD APT 424
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-3823
Practice Address - Country:US
Practice Address - Phone:615-668-0792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care