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Organization
ANGEL HOME HEALTHCARE
Active
Organization
ANGEL HOME HEALTHCARE
Active
Other names
Angel Home Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA E. CONTON PH.D (CEO)
(678) 523-3592
Entity
Organization
Contact information
Practice address
867 COMMERCE DR SW STE 100, CONYERS, GA 30094-6604
(770) 544-7643
(770) 679-4915
Mailing address
867 COMMERCE DR SW STE 100, CONYERS, GA 30094-6604
(770) 544-7643
(770) 679-4915
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
NULL
Other
Enumeration date
12/24/2018
Last updated
12/24/2018
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