| Angel Family Care, Llc | |
|
28370 N Gold Ln San Tan Valley AZ 85143-6059 | |
| (480) 720-3393 | |
| Not Available |
| Full Name | Angel Family Care, Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 28370 N Gold Ln, San Tan Valley, Arizona |
| Authorized Official Name and Position | Chantelle Ezinne Oguadimma (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4807203393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Family Care, Llc 28370 N Gold Ln San Tan Valley AZ 85143-6059 Ph: (480) 720-3393 | Angel Family Care, Llc 28370 N Gold Ln San Tan Valley AZ 85143-6059 Ph: (480) 720-3393 |
| NPI Number | 1104475763 |
|---|---|
| Provider Enumeration Date | 09/06/2019 |
| Last Update Date | 06/21/2021 |
| Certification Date | 06/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104475763 | NPI | - | NPPES |
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