# ANGEL'S HOME HEALTH CARE

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

## Provider details

- **NPI number:** 1164664678
- **Authorized official:** MS. TALLEY LATISKA PERINE (HOME HEALTH CARE)
- **Authorized official phone:** (478) 988-8751

## Contact information

- **Practice address:** 102 JUPITER LN, BONAIRE, GA 31005-3338
- **Practice address phone:** (478) 988-8751
- **Practice address fax:** (478) 218-2306
- **Mailing address:** 102 JUPITER LN, BONAIRE, GA 31005
- **Mailing address phone:** (478) 988-8751
- **Mailing address fax:** (478) 218-2306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | CN0028845934 | GA | Yes |

## Other

- **Enumeration date:** 03/30/2009
- **Last updated:** 03/30/2009