Organization
GARDEN OF ANGELS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMALA THOMPSON JEFFERSON (PRESIDENT/ CHIEF EXECUTIVE OFFICER)
(601) 982-3555
Entity
Organization
Contact information
Practice address
4807 N STATE ST STE 406, JACKSON, MS 39206-4826
(601) 982-3555
(601) 982-3557
Mailing address
4807 N STATE ST STE 406, JACKSON, MS 39206-4826
(601) 982-3555
(601) 982-3557
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114260882
—
MS
05
—
1215270921
—
MS
05
—
1265775803
—
MS
05
—
1265775894
—
MS
05
—
1447593082
—
MS
05
—
1548503170
—
MS
05
—
1578806246
—
MS
05
—
1801139449
—
MS
Enumeration date
04/23/2013
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us