Provider Demographics
NPI:1902318454
Name:ANGELICARE IN HOME COMPANION CARE INC.
Entity Type:Organization
Organization Name:ANGELICARE IN HOME COMPANION CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-453-0151
Mailing Address - Street 1:4840 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-0525
Mailing Address - Country:US
Mailing Address - Phone:559-453-0151
Mailing Address - Fax:559-682-1071
Practice Address - Street 1:4840 N 1ST ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-0525
Practice Address - Country:US
Practice Address - Phone:559-453-0151
Practice Address - Fax:559-682-1071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-24
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care