Organization
HEAVENLY ANGELS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA RICE (EXECUTIVE DIRECTOR)
(662) 295-3257
Entity
Organization
Contact information
Practice address
1333 E BROAD ST, WEST POINT, MS 39773-3180
(662) 295-3257
Mailing address
1333 E BROAD ST, WEST POINT, MS 39773-3180
(662) 295-3257
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/23/2018
Last updated
10/11/2022
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