Organization
HOLY ANGELS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA MOODY (PRESIDENT/CEO)
(704) 825-4161
Entity
Organization
Contact information
Practice address
6600 W WILKINSON BLVD, BELMONT, NC 28012-2796
(704) 825-4161
Mailing address
6600 W WILKINSON BLVD, BELMONT, NC 28012-2796
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
MHL-036-041
NC
251C00000X
Developmentally Disabled Services Day Training Agency
MHL-036-310
NC
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-036-012
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-036-041
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-036-058
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-036-111
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-036-112
NC
Other
Enumeration date
04/08/2013
Last updated
03/17/2018
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