Healthcare Provider Details

I. General information

NPI: 1326801903
Provider Name (Legal Business Name): LIEBELOVE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2024
Last Update Date: 02/05/2024
Certification Date: 02/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 QUARTZ AVE
WOODLAND HILLS CA
91367-2826
US

IV. Provider business mailing address

20110 COHASSET ST # 22
WINNETKA CA
91306-2959
US

V. Phone/Fax

Practice location:
  • Phone: 747-888-9984
  • Fax: 747-888-9984
Mailing address:
  • Phone: 323-839-2004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. GALINA MELKONYAN
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 323-839-2004