Organization
ANGEL CARE P.C.A. SVCS., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTAL GLOVER R.N. (DIRECTOR)
(504) 450-6835
Entity
Organization
Contact information
Practice address
119 VINE ST, NEW IBERIA, LA 70560-3638
(504) 450-6835
Mailing address
152 W MAIN ST STE B-5, NEW IBERIA, LA 70560-3871
(337) 376-6150
(337) 256-8968
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
20048
LA
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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