Organization
ANGEL HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMAN MASSAQUOI (CEO)
(757) 486-0007
Entity
Organization
Contact information
Practice address
3816 LIBERTY RIDGE RD, VIRGINIA BEACH, VA 23452-2902
(757) 486-0007
Mailing address
3816 LIBERTY RIDGE RD, VIRGINIA BEACH, VA 23452-2902
(757) 486-0007
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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