# ANGELICARE LLC

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

## Provider details

- **NPI number:** 1619331766
- **Authorized official:** MS. DIONNA BROCK RICHARDSON (OWNER)
- **Authorized official phone:** (888) 366-6116

## Contact information

- **Practice address:** 3408 ANGELIQUE DR, VIOLET, LA 70092-2854
- **Practice address phone:** (888) 366-6116
- **Practice address fax:** (888) 366-6116
- **Mailing address:** 3408 ANGELIQUE DR, VIOLET, LA 70092-2854
- **Mailing address phone:** (888) 366-6116
- **Mailing address fax:** (888) 366-6116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/05/2016
- **Last updated:** 04/05/2016