# MARIES ANGELS PERSONAL CARE HOME,LLC

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

## Provider details

- **NPI number:** 1023748480
- **Authorized official:** MRS. RENEE YVETTE GOODMAN (CO-OWNER)
- **Authorized official phone:** (301) 674-1622

## Contact information

- **Practice address:** 9 BRACKENWOOD CT, GREENSBORO, NC 27407-5081
- **Practice address phone:** (301) 674-1622
- **Mailing address:** 9 BRACKENWOOD CT, GREENSBORO, NC 27407-5081
- **Mailing address phone:** (301) 674-1622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0005X | Ambulatory Family Planning Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2022
- **Last updated:** 06/16/2022