Provider Demographics
NPI:1558663633
Name:COMMUNITIES ACTIVELY LIVING INDEPENDENT AND FREE
Entity Type:Organization
Organization Name:COMMUNITIES ACTIVELY LIVING INDEPENDENT AND FREE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LILLIBETH
Authorized Official - Middle Name:ESPINOSA
Authorized Official - Last Name:NAVARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-627-0477
Mailing Address - Street 1:634 SOUTH SPRING STREET
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90014-3921
Mailing Address - Country:US
Mailing Address - Phone:213-627-0477
Mailing Address - Fax:213-627-0535
Practice Address - Street 1:634 S SPRING ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90014-3921
Practice Address - Country:US
Practice Address - Phone:213-627-0477
Practice Address - Fax:213-627-0535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-23
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management