Organization
HEAVENLY ANGELS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DAVEIN LATRICE GREEN (CEO)
(678) 358-5859
Entity
Organization
Contact information
Practice address
3379 PEACHTREE RD NE, SUITE 555, ATLANTA, GA 30326-1031
(678) 358-5859
Mailing address
3379 PEACHTREE RD NE, SUITE 555, ATLANTA, GA 30326-1031
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/28/2012
Last updated
10/28/2012
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