Organization
ANGIESANGELS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDETTE SIMON RN (OWNER)
(678) 759-9104
Entity
Organization
Contact information
Practice address
212 POLO LN, LOCUST GROVE, GA 30248-3693
(770) 334-7199
Mailing address
PO BOX 41, LOCUST GROVE, GA 30248-0041
(678) 759-9104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
11/14/2019
Last updated
11/18/2019
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