Organization
ANGEL HANDS HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BART JEROME BRADFORD (CEO)
(614) 519-1615
Entity
Organization
Contact information
Practice address
401 LYNN ST STE A, VIDALIA, LA 71373-3806
(614) 519-1615
(309) 279-5021
Mailing address
421 MYRTLE ST, VIDALIA, LA 71373-3824
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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