Organization · Type 2 NPI

Angel of Life LLC

Nursing Facility/Intermediate Care Facility · Los Angeles, CA

NPI number 1497093801 Active

Practice location

2057 W 64th St
Los Angeles, CA 90047-1702

Call (323) 365-9117 Map

Fax (323) 570-0386

Mailing address

PO Box 431571
Los Angeles, CA 90043-9571

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility Primary	313M00000X	None listed

Nursing Facility/Intermediate Care Facility: 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 conditi…

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About NPI 1497093801

Angel of Life LLC's National Provider Identifier is 1497093801, issued on Jan 18, 2013. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 18, 2013.