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Organization

ANGEL STAR HOME HEALTH INC

Active
Parent organization
ANGEL STAR HOME HEALTH INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ANGEL STAR HOME HEALTH INC
Authorized official
MRS. VERONICA MCLENDON (CEO)
(704) 596-0162
Entity
Organization

Contact information

Practice address
5100 REAGAN DR, SUITE 15, CHARLOTTE, NC 28206-3190
(704) 596-0162
Mailing address
9816 NOTTINGHILL LN, CHARLOTTE, NC 28269-5006

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2910
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6601230
NC
Enumeration date
02/12/2009
Last updated
03/13/2009
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