Provider Demographics
NPI:1790518470
Name:POSITIVELY LIVING, INC.
Entity type:Organization
Organization Name:POSITIVELY LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:EILEEN
Authorized Official - Last Name:CATLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-525-1540
Mailing Address - Street 1:317 N GAY ST
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917-7529
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1925 AILOR AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37921-5804
Practice Address - Country:US
Practice Address - Phone:865-525-1540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POSITIVELY LIVING, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy