# ANGELITE PCH CENTER, LLC

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

## Provider details

- **NPI number:** 1376856773
- **Authorized official:** CHINYERE CHUKKA RN (CEO/ADMINISTRATOR)
- **Authorized official phone:** (678) 464-7284

## Contact information

- **Practice address:** 274 BULLSBORO DR STE B, NEWNAN, GA 30263-5819
- **Practice address phone:** (678) 464-7284
- **Practice address fax:** (770) 703-1553
- **Mailing address:** 8491 HOSPITAL DR, 176, DOUGLASVILLE, GA 30134-2412
- **Mailing address phone:** (678) 489-3841
- **Mailing address fax:** (770) 703-1553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251F00000X | Home Infusion Agency | — | — | — |
| 251J00000X | Nursing Care Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2010
- **Last updated:** 01/24/2023