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Organization
HOMES FOR LIFE FOUNDATION
Active
Organization
HOMES FOR LIFE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER CHRISTINE SHANER MSW (SUPPORTIVE SERVICES COORDINATOR)
(310) 938-3500
Entity
Organization
Contact information
Practice address
8939 S SEPULVEDA BLVD, SUITE 460, LOS ANGELES, CA 90045-3631
(310) 337-7413
Mailing address
8939 S SEPULVEDA BLVD, SUITE 460, LOS ANGELES, CA 90045-3631
(310) 337-7413
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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