# THE ANGEL HOUSE

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

## Provider details

- **NPI number:** 1831955814
- **Authorized official:** MRS. MICHELLE MARSHALL-CAIQUO (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (562) 405-7316

## Contact information

- **Practice address:** 5103 W 123RD PL, HAWTHORNE, CA 90250-3525
- **Practice address phone:** (562) 896-3909
- **Mailing address:** 552 E CARSON ST STE 104, CARSON, CA 90745-2897
- **Mailing address phone:** (562) 896-3909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 02/26/2024
- **Last updated:** 10/19/2024