Organization
ANGELA'S AWESOME ANGELS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LEWIS (DIRECTOR)
(314) 749-5605
Entity
Organization
Contact information
Practice address
260 MEADOWCREST DR, FERGUSON, MO 63135-2875
(314) 749-5605
Mailing address
260 MEADOWCREST DR, FERGUSON, MO 63135-2875
(314) 749-5605
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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