# HEART OF AN ANGEL NURSING SOLUTIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEART OF AN ANGEL NURSING SOLUTIONS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497365340
- **Legal business name:** HEART OF AN ANGEL NURSING SOLUTIONS, LLC
- **Authorized official:** QUATINA WILLIS LPN (ADMINISTRATOR)
- **Authorized official phone:** (470) 914-9457

## Contact information

- **Practice address:** 612 KESWICK VILLAGE CT NE, CONYERS, GA 30013-6523
- **Practice address phone:** (678) 800-5091
- **Practice address fax:** (678) 609-0592
- **Mailing address:** PO BOX 80536, CONYERS, GA 30013-8536
- **Mailing address phone:** (470) 914-9457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246RM2200X | Medical Laboratory Technician | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2020
- **Last updated:** 03/23/2023