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Organization
SHADES OF LIFE HOME HEALTH LLC
Active
Organization
SHADES OF LIFE HOME HEALTH LLC
Active
Other names
SHADES OF LIFE HOME HEALTH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TARON SEROBYN (COMPLAENCE OFFICER)
(818) 271-9299
Entity
Organization
Contact information
Practice address
16501 VENTURA BLVD STE 464, ENCINO, CA 91436-2007
(818) 562-0587
Mailing address
16501 VENTURA BLVD STE 464, ENCINO, CA 91436-2007
(818) 562-0587
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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