Organization
ANGEL HOME HEALTHCARE
Active
Other names
Angel Home Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA E. CONTON PH.D (CEO)
(678) 523-3592
Entity
Organization
Contact information
Practice address
867 COMMERCE DR SW STE 100, CONYERS, GA 30094-6604
(770) 544-7643
(770) 679-4915
Mailing address
867 COMMERCE DR SW STE 100, CONYERS, GA 30094-6604
(770) 544-7643
(770) 679-4915
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932344645
NPI
GA
Enumeration date
12/24/2018
Last updated
12/24/2018
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