Organization
ALL.WALKS.THRU.LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULSHAUNA J FUGETT (MEMBER)
(909) 619-9321
Entity
Organization
Contact information
Practice address
4138 VAHAN CT, LANCASTER, CA 93536-6838
(888) 741-6180
(877) 561-6971
Mailing address
4138 VAHAN CT, LANCASTER, CA 93536-6838
(888) 741-6180
(877) 561-6971
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90934505A
—
CA
Enumeration date
08/12/2019
Last updated
06/22/2023
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