Organization · NPI-2

Angelus Access Care Agency LLC

In Home Supportive Care · Torrance, CA

NPI number1457023202
StatusActive
Last updated in NPPESNov 9, 2021

Details

NPI
1457023202
Entity type
Organization (NPI-2)
Legal business name
Angelus Access Care Agency LLC
Organization subpart
No
Enumeration date
Sep 30, 2021
Certification date
Oct 21, 2021
Last updated
Nov 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

21151 S Western Ave Ste 130
Torrance, CA 90501-1724

Phone 310-418-0097

Mailing address

444 E Lincoln St
Carson, CA 90745-5914

Phone 310-418-0097

Authorized official

Rosely Erdle
Owner
3104180097

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