| NPI | 1548851991 |
|---|---|
| Former Legal Business Name | NEWLIFE HOMES LLC |
| Entity Type | Organization |
| Authorized Contact | SUSAN GAKWAVU Onwer 818-578-9062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |