Organization
ANGELIC HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS NAKUNA-CHI (ADMINISTRATOR)
(480) 231-0607
Entity
Organization
Contact information
Practice address
19263 E ESTRELLA RD, QUEEN CREEK, AZ 85142-6071
(480) 231-0607
Mailing address
19263 E ESTRELLA RD, QUEEN CREEK, AZ 85142-6071
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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