Organization
MAGGIES ANGELS
Active
Other names
Maggie's Angels
Organization subpart
No
Provider details
NPI number
Authorized official
TSION BESUFEKAD (MANAGING DIRECTOR)
(619) 754-0171
Entity
Organization
Contact information
Practice address
2715 A ST APT 3, SAN DIEGO, CA 92102-1067
(619) 738-4640
Mailing address
2715 A ST APT 3, SAN DIEGO, CA 92102-1067
(619) 738-4640
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374700384
HCO LICENSE NUMBER
CA
Enumeration date
12/17/2024
Last updated
12/17/2024
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