Organization
LIVELY STAFFING&HOMECAREAGENCY
Active
Other names
LIVELY STAFFING&HOMECAREAGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
FOLAKE OLAWUNMI OWODUNNI LICENSED VOCATIONAL (OPERATING MANAGER)
(424) 229-4150
Entity
Organization
Contact information
Practice address
21171 S WESTERN AVE STE 2710, TORRANCE, CA 90501-1728
(424) 229-4150
Mailing address
21171 S WESTERN AVE STE 2710, TORRANCE, CA 90501-1728
(424) 229-4150
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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