# ANGEL NURSING HEALTH CARE SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1063958734
- **Authorized official:** FLORENCE O FATUNGASE (DON)
- **Authorized official phone:** (240) 277-3873

## Contact information

- **Practice address:** 921 RUSSELL AVE UNIT A, GAITHERSBURG, MD 20879-3252
- **Practice address phone:** (240) 277-3873
- **Mailing address:** 20358 MILL POND TER, GERMANTOWN, MD 20876-6034
- **Mailing address phone:** (240) 277-3873

## Taxonomy

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

## Other

- **Enumeration date:** 01/18/2017
- **Last updated:** 01/18/2017