Organization
ANGELS ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHATAUNDRIA COTTON (OWNER)
(708) 548-8474
Entity
Organization
Contact information
Practice address
14533 JEFFERSON ST, HARVEY, IL 60426-1813
(708) 548-8474
(815) 572-5803
Mailing address
PO BOX 277998, RIVERDALE, IL 60827-7998
(708) 548-8474
(815) 572-5803
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/14/2007
Last updated
11/18/2008
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