# ESTHER ANGELS HOMECARE AND ASSISTED LIVING SERVICES

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

## Provider details

- **NPI number:** 1235613159
- **Authorized official:** OLUSEGUN AJIBADE (MANAGER)
- **Authorized official phone:** (678) 519-3088

## Contact information

- **Practice address:** 100 LLOYD AVE STE B, TYRONE, GA 30290-2157
- **Practice address phone:** (678) 519-3088
- **Practice address fax:** (800) 273-7168
- **Mailing address:** 100 LLOYD AVE STE B, TYRONE, GA 30290-2157
- **Mailing address phone:** (678) 519-3088
- **Mailing address fax:** (800) 273-7168

## Taxonomy

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

## Other

- **Enumeration date:** 09/17/2018
- **Last updated:** 09/17/2018
