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Organization
ANGEL VIEW CRIPPLED CHILDRENS FOUNDATION INC
Active
Organization
ANGEL VIEW CRIPPLED CHILDRENS FOUNDATION INC
Active
Other names
Clifford Shaklee House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C THORNTON (EXECUTIVE DIRECTOR)
(760) 329-6471
Entity
Organization
Contact information
Practice address
6889 SUNNY VISTA ROAD, JOSHUA TREE, CA 92252
(760) 329-6471
Mailing address
12379 MIRACLE HILL ROAD, DESERT HOT SPRINGS, CA 92240-4010
(760) 329-6471
(760) 329-9024
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60711F
—
CA
Enumeration date
01/31/2007
Last updated
08/22/2020
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