Organization
ANGELS WITH CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA M MCTIER RN (OWNER/ADMINISTRATOR)
(912) 366-8644
Entity
Organization
Contact information
Practice address
1781 DOC MCTIER RD., BAXLEY, GA 31513
(912) 366-8644
(912) 366-8645
Mailing address
1781 DOC MCTIER RD, BAXLEY, GA 31513
(912) 366-8644
(912) 366-8645
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
001-R-0005
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000886201A
—
GA
Enumeration date
12/06/2006
Last updated
07/21/2008
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