Organization
ANGELITE HOMECARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHINYERE CHUKKA RN (CEO/ NURSE ADMINISTRATOR)
(678) 464-7284
Entity
Organization
Contact information
Practice address
1524 N MARTIN LUTHER KING JR BLVD, SUITE A, AMERICUS, GA 31719-2284
(706) 621-7331
(877) 866-2128
Mailing address
8491 HOSPITAL DR, 176, DOUGLASVILLE, GA 30134-2412
(678) 486-3841
(770) 703-1553
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
129-R-1496
GA
Other
Enumeration date
12/31/2015
Last updated
01/24/2023
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