Organization
ANGELS SQUAD HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA NWABOGOR OKORIE (ADMINISTRATOR AND OWNER)
(470) 641-3075
Entity
Organization
Contact information
Practice address
4296 MEMORIAL DR STE A, DECATUR, GA 30032-1227
(470) 641-3075
Mailing address
239 SWEET CANE TRL, GRAYSON, GA 30017-4143
(404) 944-7971
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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