Organization
ANGELITE PCH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHINYERE CHUKKA RN (CEO/ADMINISTRATOR)
(678) 464-7284
Entity
Organization
Contact information
Practice address
274 BULLSBORO DR STE B, NEWNAN, GA 30263-5819
(678) 464-7284
(770) 703-1553
Mailing address
8491 HOSPITAL DR, 176, DOUGLASVILLE, GA 30134-2412
(678) 489-3841
(770) 703-1553
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/15/2010
Last updated
01/24/2023
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