Organization
ANGELIC PERSONAL CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY VALENTINE WILLIAMS (ADMINISTRATOR)
(225) 644-2326
Entity
Organization
Contact information
Practice address
14046 AIRLINE HWY, SUITE B, GONZALES, LA 70737
(225) 644-2326
(225) 647-4754
Mailing address
14046 AIRLINE HWY, SUITE B, GONZALES, LA 70737
(225) 644-2326
(225) 647-4754
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
9121
LA
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1126187
ELDERLY DISABLED ADULTS
LA
01
—
1145165
SUPERVISE INDEP. LIVING
LA
01
—
1172308
PERSONAL CARE ATTENDANT
LA
Enumeration date
06/19/2007
Last updated
11/08/2024
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