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Organization

ANGEL LOVIN' CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAROLYN DARLENE DESSELLES R.N. (ADMINISTRATOR)
(318) 445-3141
Entity
Organization

Contact information

Practice address
2131 WETTERMARK ST, ALEXANDRIA, LA 71301-3753
(318) 445-3141
(318) 445-3149
Mailing address
2131 WETTERMARK ST, ALEXANDRIA, LA 71301-3753
(318) 445-3141
(318) 445-3149

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
311ZA0620X
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1148521
LA
Enumeration date
05/10/2007
Last updated
08/22/2020
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