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Organization
ANGEL CITY FAMILY CARE SERVICES, INC.
Active
Organization
ANGEL CITY FAMILY CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENNY BAUTISTA (PRESIDENT)
(562) 809-1081
Entity
Organization
Contact information
Practice address
12750 CENTER COURT DR S, STE. 250, CERRITOS, CA 90703-8581
(562) 809-1081
(562) 809-1373
Mailing address
12750 CENTER COURT DR S, STE. 250, CERRITOS, CA 90703-8581
(562) 809-1081
(562) 809-1373
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Enumeration date
06/16/2005
Last updated
08/22/2020
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