Organization
HOUSE OF ANGELS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIDI IHUOMA LPN (OWNER)
(202) 432-9412
Entity
Organization
Contact information
Practice address
2630 MYRTLE AVE NE, WASHINGTON, DC 20018-2630
(202) 248-2154
Mailing address
2630 MYRTLE AVE NE, WASHINGTON, DC 20018-2630
(202) 248-2154
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
CRF000961
DC
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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