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Organization
ATTENDING ANGELS HOME CARE
Active
Organization
ATTENDING ANGELS HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE MAHONEY (MANAGER)
(314) 504-1952
Entity
Organization
Contact information
Practice address
130 HIGHWAY AB, SAINT CLAIR, MO 63077-3002
(314) 458-9041
(636) 629-8088
Mailing address
130 HIGHWAY AB, SAINT CLAIR, MO 63077-3002
(143) 458-9041
(636) 629-8088
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
305R00000X
Preferred Provider Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000011794
—
MO
Enumeration date
05/16/2013
Last updated
03/24/2023
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