Organization
ANGEL HEART HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN M ASHLEY (OWNER/ADMINISTRATOR)
(770) 287-9360
Entity
Organization
Contact information
Practice address
5041 SOUTHERN TRACE DR, GAINESVILLE, GA 30504-8217
(770) 287-9360
Mailing address
5041 SOUTHERN TRACE DR, GAINESVILLE, GA 30504-8217
(770) 287-9360
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
069-R-2000
GA
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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