| NPI | 1184380651 |
|---|---|
| Doing Business As | ANGEL WINGS CARE HOME III |
| Entity Type | Organization |
| Authorized Contact | ANITA YABUT Owner 510-329-4926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-11-09 |