Angie Residential Home
NPI #1225289770 in Bellflower, California
Provider Information
- NPI Number
- 1225289770
- Entity Type
- Organization
- Organization Name
- Angie Residential Home
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Oct 2, 2008
- Last Updated
- Oct 2, 2008
Practice Location
- Address
- 9332 GREENWELL ST
- City
- Bellflower
- State
- California
- ZIP Code
- 90706-3411
- Phone
- (310) 613-4211
Authorized Official
- Name
- EVANGELINE JOHNSON
- Title
- OWNER
- Phone
- (310) 613-4211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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