Provider Demographics
NPI:1760687594
Name:LIVE-INS FOR THE ELDERLY
Entity Type:Organization
Organization Name:LIVE-INS FOR THE ELDERLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DELIA
Authorized Official - Middle Name:BERNADETTE
Authorized Official - Last Name:STUART
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:203-748-9028
Mailing Address - Street 1:31 WEST ST
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7824
Mailing Address - Country:US
Mailing Address - Phone:203-748-9028
Mailing Address - Fax:203-743-1575
Practice Address - Street 1:31 WEST ST
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7824
Practice Address - Country:US
Practice Address - Phone:203-748-9028
Practice Address - Fax:203-743-1575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty