# MI'ANGELS CARETAKERS LLC

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

## Provider details

- **NPI number:** 1811556848
- **Authorized official:** EBONY JOHNSON (OWNER)
- **Authorized official phone:** (803) 226-3920

## Contact information

- **Practice address:** 942 DOUGHERTY RD STE C, AIKEN, SC 29803-6559
- **Practice address phone:** (803) 226-3920
- **Practice address fax:** (864) 484-8561
- **Mailing address:** 942 DOUGHERTY RD STE C, AIKEN, SC 29803-6559
- **Mailing address phone:** (803) 226-3920
- **Mailing address fax:** (864) 484-8561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376K00000X | Nurse's Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 06/12/2019
- **Last updated:** 06/12/2019
