# BLUE ANGEL HOME CARE LLC

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

## Provider details

- **NPI number:** 1982320180
- **Authorized official:** BARRY WILLIAMS (PRESIDENT)
- **Authorized official phone:** (732) 788-1603

## Contact information

- **Practice address:** 213 BROADWAY, LONG BRANCH, NJ 07740-7005
- **Practice address phone:** (732) 788-1603
- **Mailing address:** 79 DURAND PL, LONG BRANCH, NJ 07740-7529
- **Mailing address phone:** (732) 788-1603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 10/18/2022
- **Last updated:** 10/31/2022