Organization
ANGELICA'S HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH WAYNE OOSTING MSME (CEO)
(321) 432-8883
Entity
Organization
Contact information
Practice address
31944 CORTE POSITAS, TEMECULA, CA 92592-6485
(951) 474-5343
Mailing address
31916 CORTE POSITAS, TEMECULA, CA 92592-6482
(321) 432-8883
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
03/06/2025
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