Organization
ANGELIC CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRADLEY JONES (ADMINISTRATOR)
(504) 228-0203
Entity
Organization
Contact information
Practice address
4480 GENERAL DEGAULLE DR STE 223, NEW ORLEANS, LA 70131-6306
(504) 391-0068
Mailing address
4480 GENERAL DEGAULLE DR STE 223, NEW ORLEANS, LA 70131-6306
(504) 391-0068
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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