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Organization
ANGELIC HOME CARE, INC
Active
Organization
ANGELIC HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY KATHERINE OCONNOR (AGENCY OWNER/PRESIDENT)
(704) 262-3324
Entity
Organization
Contact information
Practice address
325 MCGILL AVE NW, SUITE 516, CONCORD, NC 28027-6181
(704) 262-3324
Mailing address
325 MCGILL AVE NW, SUITE 516, CONCORD, NC 28027-6181
(704) 262-3324
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4181
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC4181
NC DHHS LICENSE FOR HOME CARE AGENCY
NC
Enumeration date
11/03/2010
Last updated
11/03/2010
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