Angel Care Enterprises

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Highland, CA

NPI 1073640363 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1073640363
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
Legal business name
ANGEL CARE ENTERPRISES
Practice address
6996 Cole Ave
Highland, CA 92346-3134
Phone
(909) 863-4941
Fax
(909) 863-4941
NPI assigned
Feb 27, 2007
Organization subpart
No

Authorized official

Name
Josephine White
Title
Owner
Phone
(909) 863-1221

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Yes

Addresses

Primary practice location

6996 Cole Ave
Highland, CA 92346-3134

Mailing address

6996 Cole Ave
Highland, CA 92346-3134
Phone (909) 863-4941

Other identifiers

IdentifierTypeStateIssuer
LTC60969GMedicaidCA

Other names

  • COLE HOME Doing business as

Other providers in Highland, CA

All providers in Highland, CA · Intellectual Disabilities Intermediate Care Facility in California

Sources for this page

Verify at the official NPI Registry.