Community Life Skills Agency
NPI #1669987145 in Newark, California
Provider Information
- NPI Number
- 1669987145
- Entity Type
- Organization
- Organization Name
- Community Life Skills Agency
- Primary Specialty
- Homemaker
- Enumeration Date
- Dec 6, 2017
- Last Updated
- Dec 6, 2017
Practice Location
- Address
- 5920 THORNTON AVE STE C
- City
- Newark
- State
- California
- ZIP Code
- 94560-3843
- Phone
- (800) 398-9141
Authorized Official
- Name
- DIANA CAROL HANSSON, BACHELOR OF SCIENCE
- Title
- CEO/PROGRAM DIRECTOR
- Phone
- (800) 398-9141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Homemaker |
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