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Organization

ANGELIC HEALTHCARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TWANICE L. MITCHELL (DIRECTOR)
(314) 565-6416
Entity
Organization

Contact information

Practice address
7220 SAINT CHARLES ROCK RD, SAINT LOUIS, MO 63133-1758
(314) 361-5000
(314) 361-5001
Mailing address
PO BOX 38254, SAINT LOUIS, MO 63138-0254
(314) 565-6416
(314) 869-1184

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
MO
251J00000X
Nursing Care Agency
B00173634
MO
253Z00000X
In Home Supportive Care Agency
Primary
B00173634
MO
261QA0600X
Adult Day Care Clinic/Center

Other

Enumeration date
05/19/2008
Last updated
12/04/2018
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