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Organization

ANGELIC SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATRICIA SIMON R.N. (ADMINISTRATOR)
(225) 644-2326
Entity
Organization

Contact information

Practice address
14046 AIRLINE HWY, GONZALES, LA 70737-6607
(225) 644-2326
(225) 647-4754
Mailing address
14046 AIRLINE HWY, GONZALES, LA 70737-6607
(225) 644-2326
(225) 647-4754

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
9121
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1126187
LA
Enumeration date
08/16/2007
Last updated
08/16/2007
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