Organization
EARTHLY ANGELS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA HAMRICK (ADMINISTRATOR)
(704) 923-4719
Entity
Organization
Contact information
Practice address
625 E 2ND AVE STE 1, GASTONIA, NC 28054-0470
(980) 888-0171
(704) 327-5856
Mailing address
3210 HENDRICKS CHAPEL LN, CHARLOTTE, NC 28216-2738
(704) 923-4719
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609543917
—
NC
Enumeration date
08/24/2021
Last updated
09/27/2022
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