# CHARLIE'S ANGELS SENIOR CARE

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

## Provider details

- **NPI number:** 1518593540
- **Authorized official:** KIMBERLY LYNETT KELLOGG (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (678) 577-1073

## Contact information

- **Practice address:** 2300 LAKEVIEW PKWY STE 700, ALPHARETTA, GA 30009-9066
- **Practice address phone:** (678) 577-1073
- **Mailing address:** 2300 LAKEVIEW PKWY STE 700, ALPHARETTA, GA 30009-9066
- **Mailing address phone:** (678) 577-1073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2020
- **Last updated:** 09/12/2022