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Organization
ANGEL THERAPEUTIC HOMES
Active
Organization
ANGEL THERAPEUTIC HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELVIN LAL (R&B OPERATOR)
(916) 821-3265
Entity
Organization
Contact information
Practice address
4200 CHINQUAPIN WAY, SACRAMENTO, CA 95823-6323
(916) 821-3265
Mailing address
8117 GENEX WAY, ELK GROVE, CA 95757-6207
(916) 821-3265
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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