Organization
ANGELS HEARTS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE OLIVER TUNSON (OWNER)
(877) 369-7002
Entity
Organization
Contact information
Practice address
2035 WOODDALE BLVD, STE C, BATON ROUGE, LA 70806-1517
(877) 369-7002
Mailing address
2035 WOODDALE BLVD, STE C, BATON ROUGE, LA 70806-1517
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
22037881016
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC0005343
—
LA
Enumeration date
01/20/2012
Last updated
01/20/2012
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