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Organization

CIRCLE OF ANGELS HOME HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARRELL KENYATTA TENNIE (ADMINISTRATOR)
(919) 217-0933
Entity
Organization

Contact information

Practice address
2375 E MAIN ST STE A302, SPARTANBURG, SC 29307-1432
(864) 579-3346
(919) 217-0932
Mailing address
3005 VILLAGE PARK DR, SUITE 204B, KNIGHTDALE, NC 27545-7993
(919) 217-0933
(919) 217-0932

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
07/20/2011
Last updated
08/25/2023
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