# ANGELIC HOME CARE

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

## Provider details

- **NPI number:** 1073932679
- **Authorized official:** MRS. SHARON LAVERA CUNNIGAN-WILSON (MANAGER)
- **Authorized official phone:** (708) 250-2016

## Contact information

- **Practice address:** 840 E 155TH ST, @ND FLR, PHOENIX, IL 60426-2552
- **Practice address phone:** (708) 250-2016
- **Practice address fax:** (708) 339-3682
- **Mailing address:** 840 E 155TH ST, @ND FLR, PHOENIX, IL 60426-2552
- **Mailing address phone:** (708) 250-2016
- **Mailing address fax:** (708) 339-3682

## Taxonomy

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

## Other

- **Enumeration date:** 04/10/2014
- **Last updated:** 04/10/2014