# ANGEL HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANGEL HEALTH SERVICES LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013269067
- **Legal business name:** ANGEL HEALTH SERVICES LLC
- **Authorized official:** MR. PHILIP UWAGWU RN (CEO)
- **Authorized official phone:** (763) 412-9921

## Contact information

- **Practice address:** 2609 87TH TRAIL N, BROOKLYN PARK, MN 55443
- **Practice address phone:** (763) 412-9921
- **Mailing address:** 2609 87TH TRL N, BROOKLYN PARK, MN 55443-3742
- **Mailing address phone:** (763) 412-9921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | 15660842 | MN | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |
| 3140N1450X | Pediatric Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 10/15/2012
- **Last updated:** 10/15/2012