Organization
ANGELIC HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON LAVERA CUNNIGAN-WILSON (MANAGER)
(708) 250-2016
Entity
Organization
Contact information
Practice address
840 E 155TH ST, @ND FLR, PHOENIX, IL 60426-2552
(708) 250-2016
(708) 339-3682
Mailing address
840 E 155TH ST, @ND FLR, PHOENIX, IL 60426-2552
(708) 250-2016
(708) 339-3682
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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