Organization
RISING ANGELS
Active
Organization
RISING ANGELS
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
CHERRELLE L FERGUSON (OWNER)
(864) 436-3256
Entity
Organization
Contact information
Practice address
125 LIONS CLUB RD APT 213, GREENVILLE, SC 29617-2137
(864) 436-3256
Mailing address
125 LIONS CLUB RD APT 213, GREENVILLE, SC 29617-2137
(864) 436-3256
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255850459
—
SC
Enumeration date
01/16/2018
Last updated
01/16/2018
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