Organization
CHARLIE'S ANGELS SENIOR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LYNETT KELLOGG (OWNER/ADMINISTRATOR)
(678) 577-1073
Entity
Organization
Contact information
Practice address
2300 LAKEVIEW PKWY STE 700, ALPHARETTA, GA 30009-9066
(678) 577-1073
Mailing address
2300 LAKEVIEW PKWY STE 700, ALPHARETTA, GA 30009-9066
(678) 577-1073
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/21/2020
Last updated
09/12/2022
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