Active Life Home Care INC

NPI #1104398643 in Harbor City, California

Provider Information

NPI Number
1104398643
Entity Type
Organization
Organization Name
Active Life Home Care INC
Subpart
Yes (part of a larger organization)
Parent Organization
ACTIVE LIFE HOME CARE INC.
Primary Specialty
In Home Supportive Care
Enumeration Date
Dec 21, 2018
Last Updated
Dec 21, 2018

Practice Location

Address
760 W. LOMITA BLVD.
Address 2
SUITE 79
ZIP Code
90710
Phone
(310) 748-9390

Authorized Official

Name
MR. ARIEL VALLADOLID CABRAL
Title
ADMINISTRATOR
Phone
(310) 748-9390

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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