Organization
ANGELIC HOST ENTERPRISE INC.
Active
Other names
Angelic Host Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY GILMORE (DIRECTOR)
(704) 970-6242
Entity
Organization
Contact information
Practice address
7950 NATIONS FORD RD, SUITE D-11, CHARLOTTE, NC 28217-8014
(704) 970-6242
Mailing address
7950 NATIONS FORD RD, SUITE D-11, CHARLOTTE, NC 28217-8014
(704) 970-6242
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4112
NC
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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