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A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Care Home |
311ZA0620X | |||
Assisted Living Facility |
310400000X | |||
Custodial Care Facility |
311Z00000X |
| NPI # | 1255454377 |
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| LBN Legal business name | MARIA ANGELICA ASSISTED LIVING HOME | ||||||||||||
| Authorized official | MARK DANIEL - (CO-ADMINISTRATOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 04/06/2007 | ||||||||||||
| Last updated | 09/11/2025 - About 9 months ago | ||||||||||||
| Identifiers |
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MARIA ANGELICA ASSISTED LIVING HOME
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MARIA ANGELICA ASSISTED LIVING HOME