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Organization
ANGELS ASSISTED LIVING
Active
Organization
ANGELS ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMELIA D ALADIN (PRESIDENT)
(909) 532-3623
Entity
Organization
Contact information
Practice address
8024 REDWOOD AVE, FONTANA, CA 92336-1640
(909) 371-3966
(909) 371-3967
Mailing address
16627 CANYON LAKE LN, FONTANA, CA 92336-1239
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
366426788
COMMUNITY CARE LICENSING
CA
Enumeration date
06/18/2016
Last updated
06/18/2016
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