Provider Demographics
NPI:1831652544
Name:LIV & EVE INC.
Entity Type:Organization
Organization Name:LIV & EVE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PURTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-642-2061
Mailing Address - Street 1:PO BOX 577343
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95357-7343
Mailing Address - Country:US
Mailing Address - Phone:209-642-2061
Mailing Address - Fax:
Practice Address - Street 1:937 COFFEE RD STE 800
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-4240
Practice Address - Country:US
Practice Address - Phone:209-642-1506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty