LIVE-TO-HYDRATE LLC NPI 1215673074

NPI Information

NPI: 1215673074
Provider Name: LIVE-TO-HYDRATE, LLC
Classification: Registered Nurse - 163WI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
308 HAY ST STE B
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 518-8227
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LIVE-TO-HYDRATE, LLC is an infusion therapy registered nurse in Fayetteville, NC. LIVE-TO-HYDRATE, LLC NPI is 1215673074. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

308 HAY ST STE B
FAYETTEVILLE, NC
ZIP 28301-574
Phone: (910) 518-8227

The provider's authorized official is Destiny Burroughs .
The authorized official title is Owner and has the following contact phone number (910) 551-3665.

The enumeration date for this NPI number is 5/5/2022 and was last updated on 5/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WI0500X	Registered Nurse	Infusion Therapy			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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