Organization
BLUE ANGELS HOME CARE GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREHIWOT DERSO (RN)
(770) 328-4341
Entity
Organization
Contact information
Practice address
1951 FERENTZ TRCE, NORCROSS, GA 30071-3676
(770) 328-4341
(678) 495-1401
Mailing address
1951 FERENTZ TRCE, NORCROSS, GA 30071-3676
(770) 328-4341
(678) 495-1401
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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