Organization
LIFE CARE HEALTH SERVICES AT HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLENA REVEGA (PRESIDENT/CEO)
(818) 205-4705
Entity
Organization
Contact information
Practice address
15549 DEVONSHIRE ST STE 102B, MISSION HILLS, CA 91345-2648
(818) 205-4705
Mailing address
15549 DEVONSHIRE ST STE 102B, MISSION HILLS, CA 91345-2648
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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