Organization
SENIOR ANGELS DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. M. RUTH DEVANE (CEO)
(336) 601-8143
Entity
Organization
Contact information
Practice address
6 PEAR TREE CT, GREENSBORO, NC 27401-4075
(336) 601-8143
Mailing address
6 PEAR TREE CT, GREENSBORO, NC 27401-4075
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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