Organization
ANGEL HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI ELTOM (DIRECTOR)
(804) 691-6808
Entity
Organization
Contact information
Practice address
1801 OTTERDALE RD, MIDLOTHIAN, VA 23112-5201
(804) 212-4832
Mailing address
11307 LAUREL COVE LN, CHESTERFIELD, VA 23838-8915
(804) 212-4832
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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