Organization
ANGEL'S LEGACY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DADREALE SOPSHER (CEO)
(985) 402-0355
Entity
Organization
Contact information
Practice address
12399 CENTRAL AVE, ROSELAND, LA 70456-3622
(985) 402-0355
Mailing address
PO BOX 80, ROSELAND, LA 70456-0080
(985) 402-0355
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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