Organization
ACTIVE ANGEL CAREGIVER AGENCY
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PARMODH PARDEEP DUTT (CEO)
(310) 725-9073
Entity
Organization
Contact information
Practice address
13605 HEATHER WAY, HAWTHORNE, CA 90250-6474
(310) 725-9073
Mailing address
13605 HEATHER WAY, HAWTHORNE, CA 90250-6474
(310) 725-9073
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
464040257
CA
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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