Organization
ANGELO'S CARE HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY LOCKLEAR (DIRECTOR)
(910) 521-1895
Entity
Organization
Contact information
Practice address
707 UNION CHAPEL RD, PEMBROKE, NC 28372-8689
(910) 521-1895
(910) 521-7220
Mailing address
10091 US HIGHWAY 74 W, MAXTON, NC 28364-8936
(910) 521-1895
(910) 521-7220
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/19/2018
Last updated
10/12/2020
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