Organization
MICHAELAS ANGELIC CAREGIVERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TASHARA HEYWARD (EXECUTIVE DIRECTOR)
(803) 497-3120
Entity
Organization
Contact information
Practice address
455 ST ANDREWS RD BLDG D, SUITE 3A, COLUMBIA, SC 29210-4486
(803) 497-3120
(803) 497-3120
Mailing address
455 ST ANDREWS RD BLDG D, SUITE 3A, COLUMBIA, SC 29210-4486
(803) 497-3120
(803) 497-3899
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
03/01/2021
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