Organization
ANGEL STAR HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA MCCLENDON (CEO)
(704) 596-0531
Entity
Organization
Contact information
Practice address
5100 REAGAN DR, SUITE 15, CHARLOTTE, NC 28206-3190
(704) 596-0531
Mailing address
9816 NOTTINGHILL LN, CHARLOTTE, NC 28269-5006
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704443
—
NC
Enumeration date
04/07/2009
Last updated
04/07/2009
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