Organization
ANGEL ARMS NON MEDICAL & HOME HEALTH SVC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA WHITE MYERS (CEO)
(803) 943-5062
Entity
Organization
Contact information
Practice address
310 1ST ST W, HAMPTON, SC 29924-3404
(803) 943-5062
(803) 943-2156
Mailing address
310 1ST ST W, HAMPTON, SC 29924-3404
(803) 943-5062
(803) 943-2156
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302F00000X
Exclusive Provider Organization
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
305S00000X
Point of Service
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/10/2013
Last updated
05/08/2013
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