# LIFECARE HOME HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083858062
- **Authorized official:** MRS. BOLADEMI ADETOLA RN (ADMINISTRATOR)
- **Authorized official phone:** (310) 539-6889

## Contact information

- **Practice address:** 24404 VERMONT AVE, SUITE 206, HARBOR CITY, CA 90710-2313
- **Practice address phone:** (310) 539-6889
- **Practice address fax:** (310) 517-0171
- **Mailing address:** 24404 VERMONT AVE, SUITE 206, HARBOR CITY, CA 90710-2313
- **Mailing address phone:** (310) 539-6889
- **Mailing address fax:** (310) 517-0171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 550001351 | CA | Yes |

## Other

- **Enumeration date:** 04/22/2009
- **Last updated:** 12/06/2011