Organization
HOLISTIC ANGELS PROVIDER SERVICES COMPANY
Active
Other names
Holistic Angels Provider Services Company
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY HOLIFIELD REGISTERED NURSE (ADMINISTRATION)
(404) 317-7270
Entity
Organization
Contact information
Practice address
3011 RAINBOW DR STE 303, DECATUR, GA 30034-1867
(678) 773-0291
Mailing address
3011 RAINBOW DR STE 303, DECATUR, GA 30034-1867
(678) 773-0291
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010350
GEORGIA DEPT OF COMMUNITY HEALTH
GA
Enumeration date
07/29/2019
Last updated
02/15/2024
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