# ANGELS SQUAD HOME HEALTH, LLC

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

## Provider details

- **NPI number:** 1144956343
- **Authorized official:** EDNA NWABOGOR OKORIE (ADMINISTRATOR AND OWNER)
- **Authorized official phone:** (470) 641-3075

## Contact information

- **Practice address:** 4296 MEMORIAL DR STE A, DECATUR, GA 30032-1227
- **Practice address phone:** (470) 641-3075
- **Mailing address:** 239 SWEET CANE TRL, GRAYSON, GA 30017-4143
- **Mailing address phone:** (404) 944-7971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/29/2022
- **Last updated:** 07/29/2022