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Organization
LOVING LIFE AGAIN FOUNDATION
Active
Organization
LOVING LIFE AGAIN FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYI'SHAUWN WATKINS (FOUNDER & EXECUTIVE DIRECTOR)
(313) 722-5602
Entity
Organization
Contact information
Practice address
13751 EDWARDS ST APT 48A, WESTMINSTER, CA 92683-2961
(313) 722-5602
Mailing address
13751 EDWARDS ST APT 48A, WESTMINSTER, CA 92683-2961
(313) 722-5602
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
—
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/30/2025
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