Organization
ANGEL IN-HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRONE STEVENSON (PRESIDENT)
(219) 230-6330
Entity
Organization
Contact information
Practice address
6534 FOREST AVE, HAMMOND, IN 46324-1016
(219) 230-6330
Mailing address
6534 FOREST AVE, HAMMOND, IN 46324-1016
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
12013046
IN
Other
Enumeration date
02/17/2013
Last updated
02/17/2013
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