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Contact Information

ANGEL'S HOME ICF, INC.
10712 WATERBURY DR
STOCKTON, CA95209-4212
 Phone: 510-289-3848
 Fax: 209-477-1449
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for ANGEL'S HOME ICF, INC.

NPI # 1205224334
LBN Legal business name ANGEL'S HOME ICF, INC.
Authorized official LARRY ANGEL - (PRESIDENT / ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/23/2014
Last updated 12/23/2014 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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