# ANGELIC HEALTH CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1962373795
- **Authorized official:** MR. KOBINA POKU ODUM (ADMINISTRATOR)
- **Authorized official phone:** (571) 359-1202

## Contact information

- **Practice address:** 3177 BARBEQUE PL, WOODBRIDGE, VA 22193-8529
- **Practice address phone:** (703) 962-8942
- **Mailing address:** 17325 ROCKY MOUNT LN, DUMFRIES, VA 22026-3302
- **Mailing address phone:** (571) 359-1202
- **Mailing address fax:** (571) 359-1202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | Yes |

## Other

- **Enumeration date:** 09/15/2025
- **Last updated:** 09/15/2025
