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General NPI Number Information
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NPI Number | 1265094163
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Entity Type | Organization
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Legal Business Name | LIVLIFE HOME HEALTH, INC.
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Dates
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Enumeration Date | 07/01/2019
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 8700 RESEDA BLVD STE 219A
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4041
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Country | US
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Telephone | 818-825-4103
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Fax |
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Provider Business Mailing Address
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Address Line | 8700 RESEDA BLVD STE 219A
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4041
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Country | US
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Telephone | 818-812-6505
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Fax | 713-913-0940
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Authorized Official
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Title or Position | CEO
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Name | SWEETY EAPEN
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Credential |
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Telephone | 818-812-6505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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