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General NPI Number Information
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NPI Number | 1609468792
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Entity Type | Organization
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Legal Business Name | LIVELY STAFFING&HOMECAREAGENCY
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 21171 S WESTERN AVE STE 2710
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City | TORRANCE
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State | CA
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Zip | 90501-1728
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Country | US
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Telephone | 424-229-4150
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Fax |
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Provider Business Mailing Address
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Address Line | 21171 S WESTERN AVE STE 2710
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City | TORRANCE
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State | CA
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Zip | 90501-1728
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Country | US
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Telephone | 424-229-4150
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Fax |
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Authorized Official
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Title or Position | OPERATING MANAGER
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Name | FOLAKE OLAWUNMI OWODUNNI
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Credential | LICENSED VOCATIONAL
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Telephone | 424-229-4150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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