Organization · NPI-2

Home For Life Foundation

Psychiatric Residential Treatment Facility · Los Angeles, CA

NPI number1184898900
StatusActive
Last updated in NPPESApr 14, 2008

Details

NPI
1184898900
Entity type
Organization (NPI-2)
Legal business name
Home For Life Foundation
Organization subpart
No
Enumeration date
Apr 14, 2008
Last updated
Apr 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
323P00000X Psychiatric Residential Treatment Facility––Yes

Practice location

8939 S Sepulveda Blvd
Suite 460
Los Angeles, CA 90045-3631

Phone 310-337-7417

Mailing address

8939 S Sepulveda Blvd
Suite 460
Los Angeles, CA 90045-3631

Authorized official

Deborah Gibson
Executive Administration
3103377417

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