Provider Demographics
NPI:1700482890
Name:LIVE STRONGER TOGETHER LLC
Entity Type:Organization
Organization Name:LIVE STRONGER TOGETHER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CBHCM
Authorized Official - Phone:954-610-2850
Mailing Address - Street 1:10957 RAVEL CT
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-6761
Mailing Address - Country:US
Mailing Address - Phone:954-610-2850
Mailing Address - Fax:
Practice Address - Street 1:10957 RAVEL CT
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-6761
Practice Address - Country:US
Practice Address - Phone:954-610-2850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-05
Last Update Date:2020-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management