Organization
ANGELS NEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA CRAWFORD (OWER)
(704) 430-2155
Entity
Organization
Contact information
Practice address
5309 TUCKER ST, CHARLOTTE, NC 28269-1960
(704) 430-2155
Mailing address
5309 TUCKER ST, CHARLOTTE, NC 28269-1960
(704) 430-2155
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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