Organization
ANGEL VIEW CRIPPLED CHILDRENS FOUNDATION INC
Active
Other names
Clifford Shaklee House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C THORNTON (EXECUTIVE DIRECTOR)
(760) 329-6471
Entity
Organization
Contact information
Practice address
6889 SUNNY VISTA ROAD, JOSHUA TREE, CA 92252
(760) 329-6471
Mailing address
12379 MIRACLE HILL ROAD, DESERT HOT SPRINGS, CA 92240-4010
(760) 329-6471
(760) 329-9024
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60711F
—
CA
Enumeration date
01/31/2007
Last updated
08/22/2020
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