Organization
LIFELONG LIBERTY CARE II INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AYOMIDE S AGBEBI (CEO)
(818) 617-3800
Entity
Organization
Contact information
Practice address
22122 SHERMAN WAY STE 303A, CANOGA PARK, CA 91303-1147
(818) 617-3800
Mailing address
22122 SHERMAN WAY STE 303A, CANOGA PARK, CA 91303-1147
(818) 617-3800
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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