Organization
ANGEL OF MINE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMENET JUDAH (ADMINISTRATOR)
(804) 402-1144
Entity
Organization
Contact information
Practice address
11101 BENJAMIN PL, HENRICO, VA 23233-2768
(804) 402-1144
Mailing address
11101 BENJAMIN PL, HENRICO, VA 23233-2768
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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