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Organization
A FRIEND'S LOVE INC.
Active
Organization
A FRIEND'S LOVE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUATAUN MARK (CHIEF PROGRAM OFFICER)
(562) 587-5860
Entity
Organization
Contact information
Practice address
1637-1639 W. 228TH ST, TORRANCE, CA 90501
(310) 819-8214
Mailing address
17420 S. AVALON BLVD., CARSON, CA 90746
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
NULL
3747A0650X
Attendant Care Provider
—
NULL
3747A0650X
Attendant Care Provider
—
—
385H00000X
Respite Care
Primary
—
NULL
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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