Organization
ANGELIC COMPLETE HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY WALTON (CEO)
(623) 419-1002
Entity
Organization
Contact information
Practice address
2 N CENTRAL AVE STE 1800, PHOENIX, AZ 85004-2139
(623) 419-1002
Mailing address
2 N CENTRAL AVE STE 1800, PHOENIX, AZ 85004-2139
(623) 419-1002
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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