Organization Name: | ANGEL CONNECTION INC. |
NPI Number: | 1912380049 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IMELDA MARIANO (OPERATIONS MANAGER) |
Mailing Address: | 4401 Atlantic Ave Ste 405 Long Beach |
State: | CA US |
Postal Code: | 908072254 |
Phone Number: | 5629842714 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2015 |
NPI Last Update Date: | 07/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | BU21330590 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |