- Enrollment id
- O20200714000224
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1255891628
- Multiple npi flag
- N
- Ccn
- 559408
- Associate id
- 5799108429
- Organization name
- ANGEL S TOUCH HOME HEALTH CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 225 E BROADWAY
- Address line 2
- STE 215A
- City
- GLENDALE
- State
- CA
- Zip code
- 912051008
- Practice location type
- HHA BRANCH