Organization
ANGEL WATCH HOME CARE, INC.
Active
Other names
Angel Watch, an Amedisys Company
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL KUSSEROW (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
1869 S 8TH ST STE B, FERNANDINA BEACH, FL 32034-3072
(904) 491-3222
(904) 775-5982
Mailing address
3854 AMERICAN WAY STE A, BATON ROUGE, LA 70816-4897
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023362200
—
FL
Enumeration date
11/06/2017
Last updated
04/15/2019
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