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
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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