Organization
ANGELS IN CHARGE HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEULAH LEE WALLACE (MEMBER)
(203) 386-0055
Entity
Organization
Contact information
Practice address
104 WILLIAM ST, STRATFORD, CT 06614-4734
(202) 386-0055
Mailing address
104 WILLIAM ST, STRATFORD, CT 06614-4734
(202) 386-0055
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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