# ANGELICUM HOME HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114336567
- **Authorized official:** HAZEL ANN ASUNCION HERNANDEZ (PRESIDENT/ADMINISTRATOR/CEO)
- **Authorized official phone:** (858) 495-0400

## Contact information

- **Practice address:** 3914 MURPHY CANYON RD STE A166, SAN DIEGO, CA 92123-4415
- **Practice address phone:** (858) 495-0400
- **Practice address fax:** (858) 496-9200
- **Mailing address:** 3914 MURPHY CANYON RD STE A166, SAN DIEGO, CA 92123-4415
- **Mailing address phone:** (858) 495-0400
- **Mailing address fax:** (858) 496-9200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 550003335 | CA | Yes |

## Other

- **Enumeration date:** 08/11/2014
- **Last updated:** 09/06/2023