Community Life Skills Agency
Homemaker in Newark, CA. Organization (NPI-2).
NPI number1669987145
StatusActive
Last updated in NPPESDec 6, 2017
Details
- NPI
- 1669987145
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Life Skills Agency
- Organization subpart
- No
- Enumeration date
- Dec 6, 2017
- Last updated
- Dec 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | C3922881 | CA | Yes |
Practice location
5920 Thornton Ave Ste CNewark, CA 94560-3843
Phone 800-398-9141 · Fax 510-745-0105
Mailing address
5920 Thornton Ave Ste CNewark, CA 94560-3843
Phone 800-398-9141 · Fax 510-745-0105
Authorized official
Diana Carol Hansson
Ceo/Program Director
8003989141
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