Organization
EMPOWERING ANGEL'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA THOMPSON (CEO/DIRECTOR OF OPERATIONS)
(440) 714-5233
Entity
Organization
Contact information
Practice address
390 PROSPECT ST, ELYRIA, OH 44035-6477
(440) 714-5233
Mailing address
390 PROSPECT ST, ELYRIA, OH 44035-6477
(440) 714-5233
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/03/2024
Last updated
07/15/2024
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