NPI 1497093801

Angel of Life LLC

Organisation Nursing Facility/Intermediate Care Facility Los Angeles, CA

Practice location

Address: 2057 W 64th St, Los Angeles, CA 90047-1702
Phone: (323) 365-9117
Fax: (323) 570-0386
Mailing address: PO Box 431571, Los Angeles, CA 90043-9571

Authorised official

Name: Letricia L. Brown
Title: Owner, Administrator
Phone: (323) 365-9117

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: 1497093801
Entity type: Organization
NPI issued: 18 Jan 2013
Record last updated: 18 Jan 2013

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.