# G.L.A.S. ANGELS CARE HOME

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

## Provider details

- **NPI number:** 1659148476
- **Authorized official:** LASHAWN BAKER (CEO)
- **Authorized official phone:** (770) 313-3544

## Contact information

- **Practice address:** 496 HIGHPOINT XING, POWDER SPRINGS, GA 30127-5112
- **Practice address phone:** (770) 313-3544
- **Mailing address:** 496 HIGHPOINT XING, POWDER SPRINGS, GA 30127-5112
- **Mailing address phone:** (770) 313-3544

## Taxonomy

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

## Other

- **Enumeration date:** 12/12/2023
- **Last updated:** 02/06/2024