Mene Angel Home & Health Care
Home Health Aide in Rockford, IL. Organization (NPI-2).
NPI number1114224177
StatusActive
Last updated in NPPESFeb 26, 2011
Details
- NPI
- 1114224177
- Entity type
- Organization (NPI-2)
- Legal business name
- Mene Angel Home & Health Care
- Organization subpart
- Yes
- Enumeration date
- Feb 26, 2011
- Last updated
- Feb 26, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
815 N Church StRockford, IL 61103-7205
Phone 815-914-6072
Mailing address
815 N Church StRockford, IL 61103-7205
Phone 815-914-6072
Authorized official
Louise Marie Crayton
Owner
8159146072
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