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Organization
ILLUMINATION HEALTH AND HOME
Active
Organization
ILLUMINATION HEALTH AND HOME
Active
Other names
Illumination Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POOJA BHALLA DNP, RN (CEO)
(949) 502-0339
Entity
Organization
Contact information
Practice address
3535 W COMMONWEALTH AVE, FULLERTON, CA 92833-2821
(949) 273-0555
Mailing address
2871 PULLMAN ST, SANTA ANA, CA 92705-5713
(949) 273-0555
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
251X00000X
Supports Brokerage Agency
—
NULL
385H00000X
Respite Care
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10055
—
CA
Enumeration date
09/17/2012
Last updated
08/07/2025
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