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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
883 S ANAHEIM BLVD, ANAHEIM, CA 92805-5204
(949) 273-0555
Mailing address
2871 PULLMAN ST, SANTA ANA, CA 92705-5713
(949) 273-0555
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/10/2020
Last updated
08/07/2025
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