# ANGELICARE HOME HEALTH INC

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

## Provider details

- **NPI number:** 1578896304
- **Authorized official:** ROSALIE SEVILLA-MABASA (COMPLIANCE OFFICER)
- **Authorized official phone:** (909) 464-2273

## Contact information

- **Practice address:** 12598 CENTRAL AVE STE 210, CHINO, CA 91710-3530
- **Practice address phone:** (909) 464-2273
- **Practice address fax:** (909) 464-2276
- **Mailing address:** 12598 CENTRAL AVE STE 210, CHINO, CA 91710-3530
- **Mailing address phone:** (909) 464-2273
- **Mailing address fax:** (909) 464-2276

## Taxonomy

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

## Other

- **Enumeration date:** 09/11/2009
- **Last updated:** 02/01/2024