# COUNTRY ANGELS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023467545
- **Authorized official:** ROSE DAVIDSON (OWNER)
- **Authorized official phone:** (706) 253-0171

## Contact information

- **Practice address:** 80 LARKSPUR LN, TALKING ROCK, GA 30175-3743
- **Practice address phone:** (706) 253-0171
- **Mailing address:** 80 LARKSPUR LN, TALKING ROCK, GA 30175-3743
- **Mailing address phone:** (706) 253-0171
- **Mailing address fax:** (706) 253-0171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 112-R-0521 | GA | Yes |

## Other

- **Enumeration date:** 06/06/2016
- **Last updated:** 09/30/2026