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Organization

ANGELS HOME DIRECT CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IGNATIUS GANG (DIRECTOR)
(816) 585-2272
Entity
Organization

Contact information

Practice address
1905 ARAPAHOE CT, GREENWOOD, MO 64034-8636
(816) 537-0668
Mailing address
1905 ARAPAHOE CT, GREENWOOD, MO 64034-8636
(816) 537-0668

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25
AGENCY
MO
Enumeration date
03/17/2008
Last updated
03/17/2008
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