Organization
HOMES FOR LIFE FOUNDATION
Active
Parent organization
HOMES FOR LIFE FOUNDATION
Other names
Homes for Life Foundation - Wilson House
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOMES FOR LIFE FOUNDATION
Authorized official
DEBORAH GIBSON (EXECUTIVE ASST)
(310) 337-7417
Entity
Organization
Contact information
Practice address
54 N WILSON AVE, PASADENA, CA 91106-2306
(310) 337-7417
Mailing address
8939 S SEPULVEDA BLVD STE 460, LOS ANGELES, CA 90045-3653
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
191221043
CA
Other
Enumeration date
05/12/2009
Last updated
11/06/2018
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