ANGEL PRESTIGE RESIDENTIAL CARE LLC NPI 1205106770

NPI Information

ANGEL PRESTIGE RESIDENTIAL CARE, LLC is a rehabilitation practitioner in San Jose, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. ANGEL PRESTIGE RESIDENTIAL CARE, LLC NPI is 1205106770. The provider is registered as an organization entity type.

The provider's business location address is:

3305 MARCEL COURT
SAN JOSE, CA
ZIP 95135
Phone: (408) 440-0920

The provider's authorized official is Hermando Esguerra .
The authorized official title is Administrator and has the following contact phone number (408) 568-0615.

The enumeration date for this NPI number is 12/30/2011 and was last updated on 1/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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