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Organization

MARIES ANGELS PERSONAL CARE HOME,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RENEE YVETTE GOODMAN (CO-OWNER)
(301) 674-1622
Entity
Organization

Contact information

Practice address
9 BRACKENWOOD CT, GREENSBORO, NC 27407-5081
(301) 674-1622
Mailing address
9 BRACKENWOOD CT, GREENSBORO, NC 27407-5081
(301) 674-1622

Taxonomy

Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary

Other

Enumeration date
06/16/2022
Last updated
06/16/2022
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