Organization
ANGEL CONGREGATE LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HRANT DANAKIAN (PRESIDENT)
(661) 418-5830
Entity
Organization
Contact information
Practice address
38536 DESERT VIEW DR, PALMDALE, CA 93551
(661) 418-5830
(661) 418-5831
Mailing address
38536 DESERT VIEW DR, PALMDALE, CA 93551-4301
(661) 418-5830
(661) 418-5831
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
CA
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568869303
—
CA
Enumeration date
11/21/2014
Last updated
09/15/2022
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