Organization
ANGEL HEART HOME CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE FREDRICKS (MANAGER)
17735529350
Entity
Organization
Contact information
Practice address
2212 N LECLAIRE AVE, CHICAGO, IL 60639-3120
(773) 552-9350
Mailing address
2212 N LECLAIRE AVE, CHICAGO, IL 60639-3120
(773) 552-9350
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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