Jacky & Angie Residential Care
NPI #1174880066 in Bellflower, California
Provider Information
- NPI Number
- 1174880066
- Entity Type
- Organization
- Organization Name
- Jacky & Angie Residential Care
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Apr 16, 2012
- Last Updated
- Apr 16, 2012
Practice Location
- Address
- 9332 GREENWELL ST
- City
- Bellflower
- State
- California
- ZIP Code
- 90706-3411
- Phone
- (310) 613-4211
Authorized Official
- Name
- MRS. EVANGELINE B JOHNSON
- Title
- ADMINSTRATRATOR
- Phone
- (562) 925-7527
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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