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1780302281
ANGEL'S ADULT GROUP HOME, LLC
PHOENIX, AZ
NPI
1780302281
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Entity Type
Organization
Authorized Contact
ABEL DEFOREST
Manager/Owner
480-889-4288
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2022-08-19
Last Update Date
2022-08-19
Business Address
ANGEL'S ADULT GROUP HOME, LLC
15462 S 47TH PL
PHOENIX, AZ 85044-4965
Phone number: 480-889-4288
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Mailing Address
ANGEL'S ADULT GROUP HOME, LLC
1418 E BRIARWOOD TER
PHOENIX, AZ 85048-8692
Phone number: 480-889-4288
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