Organization
ANGEL HOMEMAKER SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORA PEGUES (ADMINISTRATOR)
(662) 843-3785
Entity
Organization
Contact information
Practice address
200 GLASSCO ST, CLEVELAND, MS 38732-4434
(662) 843-3785
(662) 843-3401
Mailing address
200 GLASSCO ST, CLEVELAND, MS 38732-4434
(662) 843-3785
(662) 843-3401
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770576
—
MS
05
—
04632279
—
MS
05
—
08458322
—
MS
Enumeration date
02/06/2007
Last updated
09/11/2025
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