Organization
ANGELIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA JACKSON (OWNER)
(910) 277-2955
Entity
Organization
Contact information
Practice address
910 S MAIN ST, LAURINBURG, NC 28352-4737
(910) 277-2955
Mailing address
PO BOX 1722, LAURINBURG, NC 28353-1722
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
HC1911
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6600723
—
NC
Enumeration date
01/31/2007
Last updated
06/20/2008
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