Organization
ANGEL ADULT CENTER 11
Active
Organization
ANGEL ADULT CENTER 11
Active
Parent organization
ANGEL HOMEMAKER SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANGEL HOMEMAKER SERVICES LLC
Authorized official
MS. 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
PO BOX 1681, 200 GLASSCO, CLEVELAND, MS 38732-1681
(662) 843-3785
(662) 843-3401
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2011
Last updated
06/12/2011
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