Organization
ANGELIC HOME ASSISTANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBY LEE QUEEN JR. (OWNER)
(423) 252-0001
Entity
Organization
Contact information
Practice address
9 S KILGORE ST, ATHENS, TN 37303-4291
(423) 252-0001
(423) 453-5526
Mailing address
9 S KILGORE ST, ATHENS, TN 37303-4291
(423) 252-0001
(423) 453-5526
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
0047755
TN
251E00000X
Home Health Agency
Primary
0164603
TN
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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