Organization
A.N.G.E.L.S. HOME HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN KEITH KOTH (CHIEF EXECUTIVE OFFICER)
(563) 245-3635
Entity
Organization
Contact information
Practice address
307 N MAIN STREET, ELKADER, IA 52043-0923
(563) 245-3635
(563) 245-3634
Mailing address
307 N MAIN STREET, PO BOX 923, ELKADER, IA 52043-0923
(563) 245-3635
(563) 245-3634
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0700770
—
IA
Enumeration date
05/27/2014
Last updated
05/27/2014
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