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Organization
AMBASSADOR OF ANGELS INC.
Active
Organization
AMBASSADOR OF ANGELS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN OWENS (HEAD ADMINISTRATOR)
(770) 909-7337
Entity
Organization
Contact information
Practice address
3782 CITATION DR, DECATUR, GA 30034-2128
(770) 909-7337
Mailing address
1367 HIGHWAY 138 SW, RIVERDALE, GA 30296-1403
(770) 909-7337
(770) 909-6211
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
GA
Other
Enumeration date
09/05/2007
Last updated
09/07/2007
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