Organization
EARTH ANGELS IN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SUZANNE JOHNSON RN (MANAGER/OWNER)
(859) 271-0117
Entity
Organization
Contact information
Practice address
698 PERIMETER DR, SUITE 103, LEXINGTON, KY 40517-4141
(859) 271-0117
Mailing address
698 PERIMETER DR, SUITE 103, LEXINGTON, KY 40517-4141
(859) 271-0117
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
500207
KY
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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