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Angel Of Life Llc
Nursing Facility/Intermediate Care Facility in Los Angeles, California
NPI 1497093801

Angel Of Life Llc is a Nursing Facility/Intermediate Care Facility based in Los Angeles, CA. Angel Of Life Llc practices in Los Angeles, CA. The NPI Number for Angel Of Life Llc is 1497093801 and holds a License No. (California).

The current practice location address for Angel Of Life Llc is 2057 W 64Th St, Los Angeles, CA and can be reached out via phone at 323-365-9117 and via fax at 323-570-0386.

Location: 2057 W 64Th St, Los Angeles, CA, 90043-9571
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497093801
Provider Name
Angel Of Life Llc
Credential
Provider Entity Type
Organization
Address
2057 W 64Th St, Los Angeles, CA, 90043-9571
Phone Number
323-365-9117
Fax Number
323-570-0386
Provider Enumeration Date
01/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2057 W 64Th St
City
Los Angeles
State
California
Zip
90047-1702
Phone Number
323-365-9117
Fax Number
323-570-0386
person
Provider Business Mailing Address Details
Address
2057 W 64Th St
City
Los Angeles
State
California
Zip
90047-1702
Phone Number
323-365-9117
Fax Number
323-570-0386
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
()
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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