Organization
ANGIE RESIDENTIAL HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVANGELINE JOHNSON (OWNER)
(310) 613-4211
Entity
Organization
Contact information
Practice address
9332 GREENWELL ST, BELLFLOWER, CA 90706-3411
(310) 613-4211
(310) 613-4211
Mailing address
9332 GREENWELL ST, BELLFLOWER, CA 90706-3411
(310) 613-4211
(310) 613-4211
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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