Organization · NPI-2

Angelic Care LLC

Assisted Living Facility · Surprise, AZ

NPI number1205433844
StatusActive
Last updated in NPPESOct 7, 2020

Details

NPI
1205433844
Entity type
Organization (NPI-2)
Legal business name
Angelic Care LLC
Organization subpart
No
Enumeration date
Oct 7, 2020
Certification date
Oct 6, 2020
Last updated
Oct 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

15247 W Wethersfield Rd
Surprise, AZ 85379-9177

Phone 602-400-2604 · Fax 623-225-7555

Mailing address

15247 W Wethersfield Rd
Surprise, AZ 85379-9177

Phone 602-400-2604

Authorized official

Kingsley A Iyere
President/Ceo
6024002604

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