Organization · NPI-2

Angel Home Health Care LLC

In Home Supportive Care · Madison, WI

NPI number1043925019
StatusActive
Last updated in NPPESNov 13, 2023

Details

NPI
1043925019
Entity type
Organization (NPI-2)
Legal business name
Angel Home Health Care LLC
Organization subpart
No
Enumeration date
Jan 13, 2023
Certification date
Nov 13, 2023
Last updated
Nov 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Other names

  • Angel Home Health Care LLC (Other Name)

Practice location

701 S Gammon Rd Ste V
Madison, WI 53719-1321

Phone 608-215-7006

Mailing address

6666 Odana Rd Ste 181
Madison, WI 53719-1012

Phone 608-215-7006

Authorized official

Kenneth Wayne House
Ceo
6082391973

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