# CHARLIES ANGELS CARE CORP

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

## Provider details

- **NPI number:** 1336740356
- **Authorized official:** CRSYTAL SCOTT (CEO)
- **Authorized official phone:** (478) 299-8531

## Contact information

- **Practice address:** 525 W BROAD ST, TWIN CITY, GA 30471-4187
- **Practice address phone:** (478) 299-8531
- **Mailing address:** 525 W BROAD ST, TWIN CITY, GA 30471-4187

## Taxonomy

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

## Other

- **Enumeration date:** 11/05/2020
- **Last updated:** 11/05/2020