# ANGELS MISSION HOME CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1316419740
- **Authorized official:** HENRY K LUKWAGO ADMINISTRATOR (BSN-RN)
- **Authorized official phone:** (240) 547-7651

## Contact information

- **Practice address:** 46 WILLOW GLEN CT, STAFFORD, VA 22554-8208
- **Practice address phone:** (540) 720-1006
- **Practice address fax:** (540) 720-1001
- **Mailing address:** 1951 GABLERIDGE TURN APT 303, WOODBRIDGE, VA 22191-1974
- **Mailing address phone:** (240) 547-7651

## Taxonomy

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

## Other

- **Enumeration date:** 12/25/2018
- **Last updated:** 10/05/2022