# ANGELIC HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1104162825
- **Authorized official:** MRS. JOY KEITT (PRESIDENT)
- **Authorized official phone:** (203) 428-7558

## Contact information

- **Practice address:** 43 DOLSEN PLACE APT. 2, STAMFORD, CT 06901
- **Practice address phone:** (203) 428-7558
- **Practice address fax:** (203) 965-0811
- **Mailing address:** 43 DOLSEN PL APT 2, STAMFORD, CT 06901-1106
- **Mailing address phone:** (203) 965-0811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCA.0000620 | CT | Yes |

## Other

- **Enumeration date:** 12/28/2012
- **Last updated:** 12/28/2012
