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Organization

CITY OF ANGELS HOME HEALTH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH L. LAGLEVA R.N. (PRESIDENT)
(310) 303-7909
Entity
Organization

Contact information

Practice address
21707 HAWTHORNE BLVD, SUITE 202, TORRANCE, CA 90503-7009
(310) 303-7909
(310) 303-7913
Mailing address
21707 HAWTHORNE BLVD, SUITE 202, TORRANCE, CA 90503-7009
(310) 303-7909
(310) 303-7913

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550001255
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
059305
MEDICARE PROVIDER NUMBER
CA
Enumeration date
09/04/2007
Last updated
02/02/2022
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