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Contact Information

ANGEL OF LIFE LLC
2057 W 64TH ST
LOS ANGELES, CA90047-1702
 Phone: 323-365-9117
 Fax: 323-570-0386
 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 OF LIFE LLC

NPI Number 1497093801
LBN Legal business name ANGEL OF LIFE LLC
Authorized official LETRICIA BROWN - (OWNER, ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2013
Last updated 01/18/2013 - About 13 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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