# ANGEL HOME HEALTH AGENCY SERVICES, INC.

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

## Provider details

- **NPI number:** 1629376652
- **Authorized official:** MS. MARTHA EGIEBOR RN (OWNER)
- **Authorized official phone:** (708) 410-2007

## Contact information

- **Practice address:** 9909 W ROOSEVELT RD, \#206, WESTCHESTER, IL 60154-2773
- **Practice address phone:** (708) 410-2007
- **Mailing address:** 9909 W ROOSEVELT RD, \#206, WESTCHESTER, IL 60154-2773
- **Mailing address phone:** (708) 410-2007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1011319 | IL | Yes |

## Other

- **Enumeration date:** 02/28/2011
- **Last updated:** 02/28/2011