# EARTHLY ANGELS HOME CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1033830138
- **Authorized official:** IHENMWOSA DAISY EISIRI OTAIGBE (MANAGER)
- **Authorized official phone:** (718) 362-7391

## Contact information

- **Practice address:** 1706 ORILEYS RUN, WINDER, GA 30680-4912
- **Practice address phone:** (718) 362-7391
- **Mailing address:** 1706 ORILEYS RUN, WINDER, GA 30680-4912
- **Mailing address phone:** (718) 362-7391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2022
- **Last updated:** 09/07/2022