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Organization
PERSONAL ANGELS INC.
Active
Organization
PERSONAL ANGELS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN M SPENCE (PRESIDENT)
(717) 468-6867
Entity
Organization
Contact information
Practice address
2703 WILLOW STREET PIKE N, WILLOW STREET, PA 17584-9503
(717) 464-2006
(717) 517-8708
Mailing address
2703 WILLOW STREET PIKE N, WILLOW STREET, PA 17584-9503
(717) 464-2006
(717) 517-8708
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15133601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019540320001
MEDICAID WAIVER
PA
Enumeration date
10/30/2014
Last updated
10/30/2014
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