Organization
ANGEL PRIVATE DUTY AND HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J PLANTINGA (CFO)
(615) 365-4424
Entity
Organization
Contact information
Practice address
333 PLUS PARK BLVD, NASHVILLE, TN 37217-1005
(615) 365-4424
(615) 365-0998
Mailing address
333 PLUS PARK BLVD, NASHVILLE, TN 37217
(615) 365-4424
(615) 365-0998
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
447581
CMS
TN
Enumeration date
06/09/2008
Last updated
03/13/2012
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