# ANGEL HOME CARE LLC

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

## Provider details

- **NPI number:** 1376221564
- **Authorized official:** MS. KAMINI SHAH (AMBR)
- **Authorized official phone:** (732) 874-4969

## Contact information

- **Practice address:** 15 WOOD AVE, EDISON, NJ 08820-3503
- **Practice address phone:** (732) 874-4969
- **Practice address fax:** (908) 756-4359
- **Mailing address:** 512 MIDDLESEX AVE, COLONIA, NJ 07067-3226
- **Mailing address phone:** (732) 874-4969
- **Mailing address fax:** (908) 756-4359

## Taxonomy

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

## Other

- **Enumeration date:** 07/07/2023
- **Last updated:** 07/07/2023