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General NPI Number Information
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NPI Number | 1720967151
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Entity Type | Organization
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Legal Business Name | HOMES FOR LIFE FOUNDATION
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 423 S MONTEREY ST
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City | ALHAMBRA
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State | CA
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Zip | 91801-8403
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Country | US
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Telephone | 310-337-7417
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Fax |
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Provider Business Mailing Address
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Address Line | 8939 S SEPULVEDA BLVD STE 460
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City | LOS ANGELES
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State | CA
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Zip | 90045-3653
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Country | US
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Telephone | 310-337-7417
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Fax |
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Authorized Official
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Title or Position | QA & COMPLIANCE MANAGER
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Name | DEBORAH E GIBSON
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Credential |
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Telephone | 310-337-7417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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