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Timothy Lively
Home Health Agency in Bemidji, Minnesota
NPI 1538531058

Timothy Lively is a Home Health Agency based in North St Paul, MN. Timothy Lively practices in Bemidji, MN. The NPI Number for Timothy Lively is 1538531058 and holds a License No. 370453 (Minnesota).

The current practice location address for Timothy Lively is 2524 Hannah Ave Nw, Bemidji, MN and can be reached out via phone at 218-210-2100 and via fax at 218-444-5677.

Location: 2524 Hannah Ave Nw, Bemidji, MN, 55109-3083
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538531058
Provider Name
Timothy Lively
Credential
Provider Entity Type
Individual
Gender
Male
Address
2524 Hannah Ave Nw, Bemidji, MN, 55109-3083
Phone Number
218-210-2100
Fax Number
218-444-5677
Provider Enumeration Date
10/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2524 Hannah Ave Nw
City
Bemidji
State
Minnesota
Zip
56601-2110
Phone Number
218-210-2100
Fax Number
218-444-5677
person
Provider Business Mailing Address Details
Address
2524 Hannah Ave Nw
City
Bemidji
State
Minnesota
Zip
56601-2110
Phone Number
218-210-2100
Fax Number
218-444-5677
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
370453 (Minnesota)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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