Organization
ACTIVE LIFE HOME CARE INC
Active
Parent organization
ACTIVE LIFE HOME CARE INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVE LIFE HOME CARE INC.
Authorized official
MR. ARIEL VALLADOLID CABRAL (ADMINISTRATOR)
(310) 748-9390
Entity
Organization
Contact information
Practice address
760 W. LOMITA BLVD., SUITE 79, HARBOR CITY, CA 90710
(310) 748-9390
(310) 847-6141
Mailing address
760 W. LOMITA BLVD., SUITE 79, HARBOR CITY, CA 90710
(310) 748-9390
(310) 847-6141
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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