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Organization
LIFECIRCLES GROUP HOME
Active
Organization
LIFECIRCLES GROUP HOME
Active
Other names
Lifecircles Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAMIE JOE NELSON (PROGRAM DIRECTOR)
(818) 834-2463
Entity
Organization
Contact information
Practice address
12681 LOUVRE ST, PACOIMA, CA 91331-1239
(818) 256-9451
Mailing address
12681 LOUVRE ST, PACOIMA, CA 91331-1239
(818) 256-9451
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
198207474
CA
Other
Enumeration date
11/07/2016
Last updated
03/15/2017
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