Organization
ANGELS HEALING HOME HEALTH CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA NGOZI ADUBA RN (ADMINISTRATOR)
(310) 675-6767
Entity
Organization
Contact information
Practice address
13663 PRAIRIE AVE, SUITE D, HAWTHORNE, CA 90250-7372
(310) 675-6767
(310) 675-6737
Mailing address
13663 PRAIRIE AVE, SUITE D, HAWTHORNE, CA 90250-7372
(310) 675-6767
(310) 675-6737
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058175
MEDICARE
CA
01
—
HHA08175F
MEDI-CAL
CA
Enumeration date
07/13/2005
Last updated
02/26/2008
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