# LAKE FOREST HOME CARE, INC.

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

## Provider details

- **NPI number:** 1366978066
- **Authorized official:** MRS. MARILOU GALAN (ADMINISTRATOR)
- **Authorized official phone:** (949) 892-8508

## Contact information

- **Practice address:** 22762 ASPAN ST, SUITE \# 206, LAKE FOREST, CA 92630-1604
- **Practice address phone:** (949) 305-2431
- **Practice address fax:** (949) 206-9261
- **Mailing address:** 22762 ASPAN ST, SUITE \# 206, LAKE FOREST, CA 92630-1604
- **Mailing address phone:** (949) 305-2431
- **Mailing address fax:** (949) 206-9261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 304700068 | CA | Yes |

## Other

- **Enumeration date:** 05/02/2017
- **Last updated:** 05/02/2017