Organization
ANGELS ON CALL HOMECARE AND MEDICAL STAFFING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAQUAN SPARKS (CEO)
(414) 839-3309
Entity
Organization
Contact information
Practice address
5215 N IRONWOOD RD, GLENDALE, WI 53217-4915
(414) 209-5579
Mailing address
5215 N IRONWOOD RD, GLENDALE, WI 53217-4915
(414) 209-5579
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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