Provider Demographics
NPI:1841076502
Name:ANGEL VIEW, INC.
Entity type:Organization
Organization Name:ANGEL VIEW, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATTI
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-329-6471
Mailing Address - Street 1:67625 E. PALM CANYON DR.
Mailing Address - Street 2:SUITE 7A
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-5462
Mailing Address - Country:US
Mailing Address - Phone:760-329-6471
Mailing Address - Fax:760-329-9024
Practice Address - Street 1:12840 CACTUS DRIVE
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240-4514
Practice Address - Country:US
Practice Address - Phone:760-288-0238
Practice Address - Fax:760-329-6348
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANGEL VIEW, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities