Organization
CHARLEYS ANGELS HEALTHCARE NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY BUSSEY (CEO)
(347) 551-9268
Entity
Organization
Contact information
Practice address
1345 MARTIN CT APT 232, BETHLEHEM, PA 18018-2563
(610) 228-2847
Mailing address
1345 MARTIN CT APT 232, BETHLEHEM, PA 18018-2563
(718) 598-3077
(855) 589-3052
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
09/21/2021
Last updated
07/24/2025
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