Organization
SPECIAL ANGELS GROUP FACILITIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZMIN COLLIER (CEO/ADMINISTARTOR)
(909) 543-7604
Entity
Organization
Contact information
Practice address
1053 N BRIERWOOD AVE, RIALTO, CA 92376-3992
(909) 543-7604
(909) 961-2207
Mailing address
1053 N BRIERWOOD AVE, RIALTO, CA 92376-3992
(909) 543-7604
(909) 961-2207
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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