Organization
ANGEL HOUSE FCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIANKA NATASCHA-FAISON GRAY (ADMINISTRATOR/OWNER)
(828) 582-7466
Entity
Organization
Contact information
Practice address
60-D HORNOT CRL, ASHEVILLE, NC 28806-3949
(828) 285-0460
(828) 285-0460
Mailing address
60 D HORNOT CIRCLE, ASHEVILLE, NC 28806-3974
(828) 582-7466
(828) 505-8717
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7804129
PROVIDER #
NC
Enumeration date
02/06/2007
Last updated
11/02/2023
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