Organization
ANGELUS HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILES R BALLESTEROS (ADMINISTRATOR)
(909) 999-0587
Entity
Organization
Contact information
Practice address
211 S LAUREL AVE, ONTARIO, CA 91762-3833
(909) 999-0587
(909) 781-2449
Mailing address
211 S LAUREL AVE, ONTARIO, CA 91762-3833
(909) 999-0587
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/01/2012
Last updated
10/02/2024
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