# ANGEL VIEW CRIPPLED CHILDRENS FOUNDATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jack Surnow House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659561314
- **Authorized official:** MR. DAVID C THORNTON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (760) 329-6471

## Contact information

- **Practice address:** 13785 VIA REAL, DESERT HOT SPRINGS, CA 92240
- **Practice address phone:** (760) 329-8403
- **Mailing address:** 12379 MIRACLE HILL ROAD, DESERT HOT SPRINGS, CA 92240-4010
- **Mailing address phone:** (760) 329-6471
- **Mailing address fax:** (760) 329-9024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 07/30/2007
- **Last updated:** 07/30/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | HCB00017F | — | CA |