Organization
CUSTOM CARE OF ELLSWORTH, INC
Active
Other names
Angels Care Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA W EDDINS (PRESIDENT)
(785) 445-3500
Entity
Organization
Contact information
Practice address
802 N MAPLE ST, RUSSELL, KS 67665-1937
(785) 445-3500
(785) 445-3502
Mailing address
2301 HIGHWAY 1187, SUITE 203, MANSFIELD, TX 76063-6124
(817) 469-6739
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A027002
KS
Other
Enumeration date
07/15/2006
Last updated
05/31/2018
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