Organization · NPI-2

Angel Care Group Home

In Home Supportive Care · Glendale, AZ

NPI number1255868089
StatusActive
Last updated in NPPESMay 11, 2017

Details

NPI
1255868089
Entity type
Organization (NPI-2)
Legal business name
Angel Care Group Home
Organization subpart
No
Enumeration date
May 11, 2017
Last updated
May 11, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive CareAL10296HAZYes

Practice location

4624 W Paradise Dr
Glendale, AZ 85304-3029

Phone 602-772-7051 · Fax 602-938-5295

Mailing address

4624 W Paradise Dr
Glendale, AZ 85304-3029

Phone 602-772-7051 · Fax 602-938-5295

Authorized official

Ahmed Dfaalla
Owner
6027727051

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other In Home Supportive Care providers in Glendale, AZ