Organization
BLUE ANGELS HEALTHCARE SERVICES.LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOISAU KISSES MORLU LPN (OWN/ADMINISTRATOR)
(571) 238-2803
Entity
Organization
Contact information
Practice address
3500 AMOS DR, GREENSBORO, NC 27405-3774
(571) 238-2803
Mailing address
3500 AMOS DR, GREENSBORO, NC 27405-3774
(571) 238-2803
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
385HR2050X
Respite Care Camp
—
—
Other
Enumeration date
06/06/2024
Last updated
06/26/2024
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