# A FRIEND FOR LIFE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SENIOR HELPERS OF SAN DIEGO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669934055
- **Authorized official:** MR. DAVID WALLACE (OPERATING MEMBER)
- **Authorized official phone:** (619) 450-4686

## Contact information

- **Practice address:** 928 FORT STOCKTON DR STE 205, SAN DIEGO, CA 92103-1893
- **Practice address phone:** (619) 450-4686
- **Practice address fax:** (619) 450-4689
- **Mailing address:** 928 FORT STOCKTON DR STE 205, SAN DIEGO, CA 92103-1893
- **Mailing address phone:** (619) 450-4686
- **Mailing address fax:** (619) 450-4689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 04/03/2019
- **Last updated:** 03/10/2021