Organization · NPI-2

Angels At Home LLC

In Home Supportive Care · Madison, WI

NPI number1104567460
StatusActive
Last updated in NPPESApr 1, 2022

Details

NPI
1104567460
Entity type
Organization (NPI-2)
Legal business name
Angels At Home LLC
Organization subpart
No
Enumeration date
Apr 1, 2022
Certification date
Mar 31, 2022
Last updated
Apr 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

8 Katherine Ct
Madison, WI 53718-2969

Phone 800-414-4172

Mailing address

8 Katherine Ct
Madison, WI 53718-2969

Phone 800-414-4172

Authorized official

Ryan Nicole Raymond
Owner/Ceo
8004144172

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