Organization
HOMES FOR LIFE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL M. LIESS (EXECUTIVE DIRECTOR)
(310) 337-7417
Entity
Organization
Contact information
Practice address
11401 BLOOMFIELD AVE, BUILDING 305-307, NORWALK, CA 90650-2015
(310) 337-7417
Mailing address
8939 S SEPULVEDA BLVD, #460, LOS ANGELES, CA 90045-3631
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7594A
LOS ANGELES COUNTY DMH
CA
Enumeration date
03/01/2007
Last updated
08/22/2020
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