Provider Demographics
NPI:1669889465
Name:HEALTHY LIVING HOME CARE
Entity type:Organization
Organization Name:HEALTHY LIVING HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ST JULIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-792-9548
Mailing Address - Street 1:3 TARA DR
Mailing Address - Street 2:UNIT 7
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-3212
Mailing Address - Country:US
Mailing Address - Phone:617-792-9548
Mailing Address - Fax:
Practice Address - Street 1:3 TARA DR
Practice Address - Street 2:UNIT 7
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188-3212
Practice Address - Country:US
Practice Address - Phone:617-792-9548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-14
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health