Organization
ANGEL HOUSE FCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIANKA F GRAY (ADMINISTRATOR)
(828) 582-7466
Entity
Organization
Contact information
Practice address
60 HORNOT CIR APT G, ASHEVILLE, NC 28806-3974
(828) 254-9273
(877) 712-4866
Mailing address
60 HORNOT CIR APT D, ASHEVILLE, NC 28806-3974
(828) 582-7466
(877) 712-4866
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7804680
PROVIDER#
NC
Enumeration date
02/07/2007
Last updated
11/09/2023
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