Organization
HEALTHY LIVING AT HOME - LOS ANGELES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON PAUL BLISS (MANAGING MEMBER)
(408) 658-2768
Entity
Organization
Contact information
Practice address
150 E OLIVE AVE STE 207, BURBANK, CA 91502-1850
(818) 557-8310
(818) 557-8356
Mailing address
150 E OLIVE AVE STE 207, BURBANK, CA 91502-1850
(818) 557-8310
(818) 557-8356
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550000333
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550000333
HOME HEALTH LICENSE
CA
Enumeration date
01/22/2007
Last updated
02/15/2016
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