Organization
ANGELO'S CARE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY CINDY LOCKLEAR (ADMINISTRATOR)
(910) 521-1895
Entity
Organization
Contact information
Practice address
10091 US HIGHWAY 74 W, MAXTON, NC 28364-8936
(910) 521-1895
(910) 521-7220
Mailing address
10091 US HIGHWAY 74 W, MAXTON, NC 28364-8936
(910) 521-1895
(910) 521-7220
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301780B
—
NC
Enumeration date
06/27/2007
Last updated
08/22/2020
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