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Organization
ANGEL HEALTH SERVICES LLC
Active
Organization
ANGEL HEALTH SERVICES LLC
Active
Parent organization
ANGEL HEALTH SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANGEL HEALTH SERVICES LLC
Authorized official
MR. PHILIP UWAGWU RN (CEO)
(763) 412-9921
Entity
Organization
Contact information
Practice address
2609 87TH TRAIL N, BROOKLYN PARK, MN 55443
(763) 412-9921
Mailing address
2609 87TH TRL N, BROOKLYN PARK, MN 55443-3742
(763) 412-9921
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
NULL
314000000X
Skilled Nursing Facility
15660842
MN
314000000X
Skilled Nursing Facility
Primary
—
NULL
3140N1450X
Pediatric Skilled Nursing Facility
—
NULL
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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