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Organization

ANGELS OF COMPASSION LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARCUS DEWAYNE DERICO (OWNER/CEO)
(334) 857-2394
Entity
Organization

Contact information

Practice address
400 BIRMINGHAM RD, ECLECTIC, AL 36024-4606
(334) 857-2394
Mailing address
PO BOX 240006, ECLECTIC, AL 36024-0001
(334) 857-2394

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
12291414
AL

Other

Enumeration date
05/01/2012
Last updated
05/01/2012
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