Organization
LYDIA ANGELS AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA A MOKOENA (OWNER)
(774) 329-6133
Entity
Organization
Contact information
Practice address
287 GROVE ST, BUILDING D, SUITE 204, ROOM NO. 275, WORCESTER, MA 01605-3905
(774) 329-6133
(978) 514-7222
Mailing address
499 MECHANIC ST, LEOMINSTER, MA 01453-4431
(774) 329-6133
(978) 514-7222
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
01/05/2026
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