Organization
ANGELS PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KAY NUTT (ADMINSTRATOR)
(870) 532-7905
Entity
Organization
Contact information
Practice address
207 CLEMENT CV, GOSNELL, AR 72315-5520
(870) 532-7905
Mailing address
207 CLEMENT CV, GOSNELL, AR 72315-5520
(870) 532-7905
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
01/21/2020
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