Organization
ANGEL CARE GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED DFAALLA (OWNER)
(602) 772-7051
Entity
Organization
Contact information
Practice address
4624 W PARADISE DR, GLENDALE, AZ 85304-3029
(602) 772-7051
(602) 938-5295
Mailing address
4624 W PARADISE DR, GLENDALE, AZ 85304-3029
(602) 772-7051
(602) 938-5295
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
AL10296H
AZ
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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