Blue Angels Healthcare Services.LLC
Home Health Aide in Greensboro, NC. Organization (NPI-2).
NPI number1366284846
StatusActive
Last updated in NPPESJun 26, 2024
Details
- NPI
- 1366284846
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Angels Healthcare Services.LLC
- Organization subpart
- No
- Enumeration date
- Jun 6, 2024
- Certification date
- Jun 26, 2024
- Last updated
- Jun 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 376K00000X | Nurse's Aide | – | – | |
| 385HR2050X | Respite Care, Respite Care Camp | – | – |
Practice location
3500 Amos DrGreensboro, NC 27405-3774
Phone 571-238-2803
Mailing address
3500 Amos DrGreensboro, NC 27405-3774
Phone 571-238-2803
Authorized official
Koisau Kisses Morlu
Own/Administrator
5712382803
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