# CIRCLE OF ANGELS HOME HEALTH CARE

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

## Provider details

- **NPI number:** 1861780009
- **Authorized official:** DARRELL KENYATTA TENNIE (ADMINISTRATOR)
- **Authorized official phone:** (919) 217-0933

## Contact information

- **Practice address:** 2375 E MAIN ST STE A302, SPARTANBURG, SC 29307-1432
- **Practice address phone:** (864) 579-3346
- **Practice address fax:** (919) 217-0932
- **Mailing address:** 3005 VILLAGE PARK DR, SUITE 204B, KNIGHTDALE, NC 27545-7993
- **Mailing address phone:** (919) 217-0933
- **Mailing address fax:** (919) 217-0932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/20/2011
- **Last updated:** 08/25/2023