# ANGEL CONGREGATE LIVING, INC

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

## Provider details

- **NPI number:** 1568869303
- **Authorized official:** HRANT DANAKIAN (PRESIDENT)
- **Authorized official phone:** (661) 418-5830

## Contact information

- **Practice address:** 38536 DESERT VIEW DR, PALMDALE, CA 93551
- **Practice address phone:** (661) 418-5830
- **Practice address fax:** (661) 418-5831
- **Mailing address:** 38536 DESERT VIEW DR, PALMDALE, CA 93551-4301
- **Mailing address phone:** (661) 418-5830
- **Mailing address fax:** (661) 418-5831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | CA | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2014
- **Last updated:** 09/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1568869303 | — | CA |