Organization
ANGEL CORPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD MAPLES (PRESIDENT)
(260) 426-4357
Entity
Organization
Contact information
Practice address
528 W WASHINGTON BLVD, FORT WAYNE, IN 46802-2918
(260) 426-4357
(260) 426-0485
Mailing address
528 W WASHINGTON BLVD, FORT WAYNE, IN 46802-2918
(260) 426-4357
(260) 426-0485
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200340660
—
IN
Enumeration date
07/31/2006
Last updated
06/13/2008
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