Organization
PURPOSEFUL ANGELS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADESUWA OLABANJI CSCM (OWNER)
(510) 910-4033
Entity
Organization
Contact information
Practice address
6701 KOLL CENTER PKWY STE 250, PLEASANTON, CA 94566-8062
(209) 362-0425
(209) 297-4319
Mailing address
333 DANBURY PL, LATHROP, CA 95330-8877
(510) 910-4033
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
08/05/2020
Last updated
09/15/2020
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