Organization
ANGEL'S LOV, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HAMLET (VICE PRESIDENT OF FINANCE AND ADMIN)
(931) 249-0464
Entity
Organization
Contact information
Practice address
330 UNION ST, CLARKSVILLE, TN 37040-3659
(931) 494-8720
Mailing address
330 UNION ST, CLARKSVILLE, TN 37040-3659
(931) 494-8720
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1000000022784
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q038061
—
TN
Enumeration date
08/27/2018
Last updated
08/27/2018
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