# ANGEL HOUSE LLC

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

## Provider details

- **NPI number:** 1326707043
- **Authorized official:** ALEXIS HORNSBY (VICE PRESIDENT/DIRECTING MANAGER)
- **Authorized official phone:** (833) 762-6435

## Contact information

- **Practice address:** 1265 W SHAW AVE STE 100, FRESNO, CA 93711-3717
- **Practice address phone:** (183) 376-2643
- **Mailing address:** 1265 W SHAW AVE STE 100, FRESNO, CA 93711-3717
- **Mailing address phone:** (183) 376-2643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/09/2021
- **Last updated:** 12/09/2021