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Organization
ANGELIC RAYS COMPASSIONATE CARE LLC
Active
Organization
ANGELIC RAYS COMPASSIONATE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA T MILES (CEO)
(702) 245-7586
Entity
Organization
Contact information
Practice address
2327 MAGAW LN, POWDER SPRINGS, GA 30127-5630
(702) 245-7586
(770) 800-8151
Mailing address
2327 MAGAW LN, POWDER SPRINGS, GA 30127-5630
(702) 245-7586
(770) 800-8151
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
314000000X
Skilled Nursing Facility
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
12/26/2023
Last updated
12/29/2023
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