Organization
ANGEL PRIVATE DUTY NURSING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORA PEGUES (ADMINISTRATOR)
(662) 843-3785
Entity
Organization
Contact information
Practice address
200 GLASSCO ST, CLEVELAND, MS 38732-4434
(662) 843-3785
(662) 843-3401
Mailing address
200 GLASSCO ST, P.O. BOX 1681, CLEVELAND, MS 38732-4434
(662) 843-3785
(662) 843-3401
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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