# HOLY ANGELS INC

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

## Provider details

- **NPI number:** 1619310851
- **Authorized official:** REGINA MOODY (PRESIDENT/CEO)
- **Authorized official phone:** (704) 825-4161

## Contact information

- **Practice address:** 6600 W WILKINSON BLVD, BELMONT, NC 28012-2796
- **Practice address phone:** (704) 825-4161
- **Mailing address:** 6600 W WILKINSON BLVD, BELMONT, NC 28012-2796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | MHL-036-041 | NC | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | MHL-036-310 | NC | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-036-012 | NC | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-036-041 | NC | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-036-058 | NC | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-036-111 | NC | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-036-112 | NC | — |

## Other

- **Enumeration date:** 04/08/2013
- **Last updated:** 03/17/2018