Organization
CHARLIES ANGELS HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANIQUE T. BASS (AIDE)
(419) 810-5438
Entity
Organization
Contact information
Practice address
500 MADISON AVE STE 310, TOLEDO, OH 43604-1230
(419) 810-5438
(541) 635-5779
Mailing address
744 GENEVA AVE, TOLEDO, OH 43609-2950
(419) 810-5438
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0413187
—
OH
Enumeration date
10/10/2020
Last updated
05/09/2024
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