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Organization

A FAMILY FRIEND LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE WALLER (OWNER)
(818) 533-8515
Entity
Organization

Contact information

Practice address
625 N SYCAMORE AVE, SUITE 117, LOS ANGELES, CA 90036-2054
(818) 533-8515
Mailing address
26347 THOUSAND OAKS BLVD, SUITE 169, CALABASAS, CA 91302-2644

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
11/04/2016
Last updated
11/04/2016
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