Organization
THE ANGEL HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE MARSHALL-CAIQUO (OWNER/ADMINISTRATOR)
(562) 405-7316
Entity
Organization
Contact information
Practice address
5103 W 123RD PL, HAWTHORNE, CA 90250-3525
(562) 896-3909
Mailing address
552 E CARSON ST STE 104, CARSON, CA 90745-2897
(562) 896-3909
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
10/19/2024
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