# ANGELIC HOME HEALTHCARE

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

## Provider details

- **NPI number:** 1902642598
- **Authorized official:** KESHA MATHEWS (OWNER)
- **Authorized official phone:** (501) 773-8055

## Contact information

- **Practice address:** 7734 S SHORELINE BLVD, BENTON, AR 72019-8472
- **Practice address phone:** (501) 773-8055
- **Mailing address:** 7734 S SHORELINE BLVD, BENTON, AR 72019-8472
- **Mailing address phone:** (501) 773-8055

## Taxonomy

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

## Other

- **Enumeration date:** 07/03/2024
- **Last updated:** 07/03/2024