# ANGELS ARM HOME HEALTHCARE

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

## Provider details

- **NPI number:** 1396058301
- **Authorized official:** MS. DAISY GREEN (OWNER/DIRECTOR)
- **Authorized official phone:** (803) 943-2188

## Contact information

- **Practice address:** 119 PATRIDGE LN, VARNVILLE, SC 29944
- **Practice address phone:** (803) 943-2188
- **Mailing address:** 119 PATRIDGE LN, VARNVILLE, SC 29944
- **Mailing address phone:** (803) 943-2188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |
| 305R00000X | Preferred Provider Organization | — | NULL | — |
| 305S00000X | Point of Service | — | NULL | — |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 347C00000X | Private Vehicle | — | SC | — |

## Other

- **Enumeration date:** 07/19/2010
- **Last updated:** 09/08/2010