Organization
HOMES FOR LIFE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL M LIESS (EXECUTIVE DIRECTOR AND FACILITY ADM)
(310) 337-7417
Entity
Organization
Contact information
Practice address
8939 S SEPULVEDA BLVD, SUITE NUMBER 460, LOS ANGELES, CA 90045-3631
(310) 337-7417
Mailing address
83 BRIARWOOD LN, ALISO VIEJO, CA 92656-2963
(949) 305-3947
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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