Organization
TD ANGEL HOMECARE LLC
Active
Parent organization
TD ANGEL HOMECARE LLC
Other names
TD Mobile Lab & Specimen
Organization subpart
Yes
Provider details
NPI number
Legal business name
TD ANGEL HOMECARE LLC
Authorized official
TANGELA DANTZLER (OWNER)
(601) 670-0299
Entity
Organization
Contact information
Practice address
409 W OAK ST, LAUREL, MS 39440-3948
(601) 670-0299
Mailing address
409 W OAK ST, LAUREL, MS 39440-3948
(601) 670-0299
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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