# ANGEL OF MINE HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1538623996
- **Authorized official:** AMENET JUDAH (ADMINISTRATOR)
- **Authorized official phone:** (804) 402-1144

## Contact information

- **Practice address:** 11101 BENJAMIN PL, HENRICO, VA 23233-2768
- **Practice address phone:** (804) 402-1144
- **Mailing address:** 11101 BENJAMIN PL, HENRICO, VA 23233-2768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/29/2019
- **Last updated:** 01/29/2019
