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Organization
ANGEL'S HOME HEALTH CARE
Active
Organization
ANGEL'S HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TALLEY LATISKA PERINE (HOME HEALTH CARE)
(478) 988-8751
Entity
Organization
Contact information
Practice address
102 JUPITER LN, BONAIRE, GA 31005-3338
(478) 988-8751
(478) 218-2306
Mailing address
102 JUPITER LN, BONAIRE, GA 31005
(478) 988-8751
(478) 218-2306
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
CN0028845934
GA
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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