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Organization

ANGELIC HOME CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY KATHERINE OCONNOR (AGENCY OWNER/PRESIDENT)
(704) 262-3324
Entity
Organization

Contact information

Practice address
325 MCGILL AVE NW, SUITE 516, CONCORD, NC 28027-6181
(704) 262-3324
Mailing address
325 MCGILL AVE NW, SUITE 516, CONCORD, NC 28027-6181
(704) 262-3324

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4181
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HC4181
NC DHHS LICENSE FOR HOME CARE AGENCY
NC
Enumeration date
11/03/2010
Last updated
11/03/2010
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