Organization
SACRED ANGELS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA JOYCE WALLACE (CAREGIVER)
(251) 200-0551
Entity
Organization
Contact information
Practice address
21862 STATE HIGHWAY 59 S STE J, ROBERTSDALE, AL 36567-6712
(901) 949-9459
Mailing address
21862 STATE HIGHWAY 59 S STE J, ROBERTSDALE, AL 36567-6712
(251) 200-0551
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/26/2023
Last updated
07/08/2023
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