Organization
DEVOTED LIFESTYLE HOUSING LLC.
Active
Parent organization
DEVOTED LIFESTYLE HOUSING LLC
Other names
Devoted Lifestyle
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEVOTED LIFESTYLE HOUSING LLC
Authorized official
VANESSA C CHAVEZ-HARRIS (CHIEF FINACIAL MANAGER)
(760) 215-5498
Entity
Organization
Contact information
Practice address
15017 HESTA ST, POWAY, CA 92064-2607
(858) 231-7219
Mailing address
15017 HESTA ST, POWAY, CA 92064-2607
(858) 231-7219
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
332U00000X
Home Delivered Meals
—
—
385H00000X
Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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