Provider Demographics
NPI:1679206221
Name:LISTE CARE SERVICES INC
Entity Type:Organization
Organization Name:LISTE CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LISTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-438-0349
Mailing Address - Street 1:5278 GOLDEN GATE PKWY STE 1
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-7644
Mailing Address - Country:US
Mailing Address - Phone:239-438-0349
Mailing Address - Fax:
Practice Address - Street 1:5278 GOLDEN GATE PKWY STE 1
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-7644
Practice Address - Country:US
Practice Address - Phone:239-438-0349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services