Organization
ANGEL HEART HOMECARE & HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIRIAM THOMPSON LPN (CEO)
(770) 873-3185
Entity
Organization
Contact information
Practice address
18 E MAIN ST, MANCHESTER, GA 31816-2113
(904) 303-5535
(404) 763-4115
Mailing address
18 E MAIN ST, MANCHESTER, GA 31816-2113
(904) 303-5535
(404) 763-4115
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
GA
251J00000X
Nursing Care Agency
—
GA
253Z00000X
In Home Supportive Care Agency
Primary
—
GA
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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