NPI 1205224334

Angel's Home Icf, INC.

Organisation Nursing Facility/Intermediate Care Facility Stockton, CA

Practice location

Address: 10712 Waterbury Dr, Stockton, CA 95209-4212
Phone: (510) 289-3848
Fax: (209) 477-1449

Authorised official

Name: Larry R Angel
Title: President / Administrator
Phone: (510) 289-3848

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X

Other Nursing Facility/Intermediate Care Facility providers in California →

Registry record

NPI: 1205224334
Entity type: Organization
NPI issued: 23 Dec 2014
Record last updated: 23 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.