Organization
ANGELICARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIONNA BROCK RICHARDSON (OWNER)
(888) 366-6116
Entity
Organization
Contact information
Practice address
3408 ANGELIQUE DR, VIOLET, LA 70092-2854
(888) 366-6116
(888) 366-6116
Mailing address
3408 ANGELIQUE DR, VIOLET, LA 70092-2854
(888) 366-6116
(888) 366-6116
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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