Organization
CHARLIES ANGELS HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY BUSSEY (OWNER/CEO)
(718) 598-3077
Entity
Organization
Contact information
Practice address
412 BEACH 38TH ST, FAR ROCKAWAY, NY 11691-1514
(610) 619-6069
Mailing address
412 BEACH 38TH ST, FAR ROCKAWAY, NY 11691-1514
(718) 598-3077
(855) 589-3052
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
07/24/2025
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