Organization
ANGELINE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR FLORES GONZALES I CNA (OWNER)
(559) 289-2992
Entity
Organization
Contact information
Practice address
2834 E MICHIGAN AVE, FRESNO, CA 93703-1136
(559) 289-2992
(559) 227-6534
Mailing address
2834 E MICHIGAN AVE, FRESNO, CA 93703-1136
(559) 289-2992
(559) 227-6534
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5821164
ANTHEM BLUE CROSS
CA
Enumeration date
03/03/2009
Last updated
07/21/2022
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