Angela'S Awesome Angels LLC
In Home Supportive Care in Ferguson, MO. Organization (NPI-2).
NPI number1306214366
StatusActive
Last updated in NPPESSep 8, 2015
Details
- NPI
- 1306214366
- Entity type
- Organization (NPI-2)
- Legal business name
- Angela'S Awesome Angels LLC
- Organization subpart
- No
- Enumeration date
- Sep 8, 2015
- Last updated
- Sep 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
260 Meadowcrest DrFerguson, MO 63135-2875
Phone 314-749-5605
Mailing address
260 Meadowcrest DrFerguson, MO 63135-2875
Phone 314-749-5605
Authorized official
Angela Lewis
Director
3147495605
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