Provider Demographics
NPI:1811121643
Name:HOBAN, LIVIU
Entity type:Individual
Prefix:
First Name:LIVIU
Middle Name:
Last Name:HOBAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 W MCRAE WAY
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4808
Mailing Address - Country:US
Mailing Address - Phone:623-580-8131
Mailing Address - Fax:623-580-8565
Practice Address - Street 1:3120 W MCRAE WAY
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4808
Practice Address - Country:US
Practice Address - Phone:623-580-8131
Practice Address - Fax:623-580-8565
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility