# WALKING ANGELS NON-MEDICAL HOME CARE AGENCY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WALKING ANGELS NON-MEDICA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255096921
- **Authorized official:** JAMES P CLARK (AGENCY-MANAGER)
- **Authorized official phone:** (618) 698-4817

## Contact information

- **Practice address:** 948 STONE CREEK LN, BELLEVILLE, IL 62223-2648
- **Practice address phone:** (618) 698-4817
- **Mailing address:** 948 STONE CREEK LN, BELLEVILLE, IL 62223-2648
- **Mailing address phone:** (618) 698-4817

## Taxonomy

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

## Other

- **Enumeration date:** 11/07/2021
- **Last updated:** 02/05/2022