# ANGEL HEART HOMECARE & HOSPICE

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

## Provider details

- **NPI number:** 1376829473
- **Authorized official:** MS. MIRIAM THOMPSON LPN (CEO)
- **Authorized official phone:** (770) 873-3185

## Contact information

- **Practice address:** 18 E MAIN ST, MANCHESTER, GA 31816-2113
- **Practice address phone:** (904) 303-5535
- **Practice address fax:** (404) 763-4115
- **Mailing address:** 18 E MAIN ST, MANCHESTER, GA 31816-2113
- **Mailing address phone:** (904) 303-5535
- **Mailing address fax:** (404) 763-4115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251G00000X | Community Based Hospice Care Agency | — | GA | — |
| 251J00000X | Nursing Care Agency | — | GA | — |
| 253Z00000X | In Home Supportive Care Agency | — | GA | Yes |

## Other

- **Enumeration date:** 11/02/2011
- **Last updated:** 11/02/2011