Organization
ANGELS ARM HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAISY GREEN (OWNER/DIRECTOR)
(803) 943-2188
Entity
Organization
Contact information
Practice address
119 PATRIDGE LN, VARNVILLE, SC 29944
(803) 943-2188
Mailing address
119 PATRIDGE LN, VARNVILLE, SC 29944
(803) 943-2188
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302F00000X
Exclusive Provider Organization
Primary
—
—
305R00000X
Preferred Provider Organization
—
—
305S00000X
Point of Service
—
—
310400000X
Assisted Living Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
SC
Other
Enumeration date
07/19/2010
Last updated
09/08/2010
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