Organization
ANGELS ON ASSIGNEMNTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LARIKA LAVERNE MANN (OWNER)
(330) 396-1264
Entity
Organization
Contact information
Practice address
235 WESTCLIFFE CT, COLLEGE PARK, GA 30349-1479
(330) 396-1264
Mailing address
235 WESTCLIFFE CT, COLLEGE PARK, GA 30349-1479
(330) 396-1264
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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