# LIVELY STAFFING&HOMECAREAGENCY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIVELY STAFFING&HOMECAREAGENCY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609468792
- **Authorized official:** FOLAKE OLAWUNMI OWODUNNI LICENSED VOCATIONAL (OPERATING MANAGER)
- **Authorized official phone:** (424) 229-4150

## Contact information

- **Practice address:** 21171 S WESTERN AVE STE 2710, TORRANCE, CA 90501-1728
- **Practice address phone:** (424) 229-4150
- **Mailing address:** 21171 S WESTERN AVE STE 2710, TORRANCE, CA 90501-1728
- **Mailing address phone:** (424) 229-4150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/09/2021
- **Last updated:** 02/09/2021