# ANGELS CARE ADULT FAMILY HOME LLC

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

## Provider details

- **NPI number:** 1205785706
- **Authorized official:** CECILE GAMBRELL (PROVIDER)
- **Authorized official phone:** (920) 791-0134

## Contact information

- **Practice address:** 200 E CENTENNIAL DR UNIT 653, OAK CREEK, WI 53154-8928
- **Practice address phone:** (920) 791-0134
- **Mailing address:** 200 E CENTENNIAL DR UNIT 653, OAK CREEK, WI 53154-8928
- **Mailing address phone:** (920) 791-0134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/27/2026
- **Last updated:** 01/27/2026