Organization
CIRCLE OF LIFE HOMECARE AND CONSULTING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY CHARLENE RENE ZACHERY (ADMINISTRATOR)
(818) 633-6220
Entity
Organization
Contact information
Practice address
5025 11TH AVE, LOS ANGELES, CA 90043-4815
(818) 633-6220
Mailing address
5444 CRENSHAW BLVD STE 206, LOS ANGELES, CA 90043-2408
(818) 633-6220
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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