Provider Demographics
NPI:1891262432
Name:LEVARA HEALTH INC
Entity Type:Organization
Organization Name:LEVARA HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IRV
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARZBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-538-2721
Mailing Address - Street 1:623 EAGLE ROCK AVE STE 364
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-2948
Mailing Address - Country:US
Mailing Address - Phone:833-538-2721
Mailing Address - Fax:
Practice Address - Street 1:623 EAGLE ROCK AVE STE 364
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2948
Practice Address - Country:US
Practice Address - Phone:833-538-2721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty