Organization
ASSISTING ANGELS, LLC
Active
Organization
ASSISTING ANGELS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WADE O LOGAN (OWNER/MEMBER)
(601) 201-6868
Entity
Organization
Contact information
Practice address
745 S PEAR ORCHARD RD, RIDGELAND, MS 39157-5128
(601) 201-6868
(601) 956-8840
Mailing address
PO BOX 667, MADISON, MS 39130-0667
(601) 201-6868
(601) 956-8840
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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