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Organization
CUSTOM CARE OF ELLSWORTH, INC
Active
Organization
CUSTOM CARE OF ELLSWORTH, INC
Active
Other names
Angels Care Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA W EDDINS (PRESIDENT)
(785) 445-3500
Entity
Organization
Contact information
Practice address
802 N MAPLE ST, RUSSELL, KS 67665-1937
(785) 445-3500
(785) 445-3502
Mailing address
2301 HIGHWAY 1187, SUITE 203, MANSFIELD, TX 76063-6124
(817) 469-6739
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A027002
KS
Other
Enumeration date
07/15/2006
Last updated
05/31/2018
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