Organization
ANGELIC HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KOBINA POKU ODUM (ADMINISTRATOR)
(571) 359-1202
Entity
Organization
Contact information
Practice address
3177 BARBEQUE PL, WOODBRIDGE, VA 22193-8529
(703) 962-8942
Mailing address
17325 ROCKY MOUNT LN, DUMFRIES, VA 22026-3302
(571) 359-1202
(571) 359-1202
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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