Organization
ANGELIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINGSLEY A IYERE SR. (PRESIDENT/CEO)
(602) 400-2604
Entity
Organization
Contact information
Practice address
15247 W WETHERSFIELD RD, SURPRISE, AZ 85379-9177
(602) 400-2604
(623) 225-7555
Mailing address
15247 W WETHERSFIELD RD, SURPRISE, AZ 85379-9177
(602) 400-2604
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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