# NEIGHBORHOOD ANGELS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stay at Home of NE Georgia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265725071
- **Authorized official:** MRS. JANICE INGRASSIA DAVIS (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (770) 889-8880

## Contact information

- **Practice address:** 3060 KEITH BRIDGE RD, STE C-3, CUMMING, GA 30041-3954
- **Practice address phone:** (770) 889-8880
- **Practice address fax:** (770) 886-0469
- **Mailing address:** 3060 KEITH BRIDGE RD, STE C-3, CUMMING, GA 30041-3954
- **Mailing address phone:** (770) 889-8880
- **Mailing address fax:** (770) 886-0469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 058-R-0712 | GA | Yes |

## Other

- **Enumeration date:** 05/26/2011
- **Last updated:** 05/26/2011
