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Circle Of Angels Home Health Care

Home Health in Spartanburg, SC. Organization (NPI-2).

NPI number1861780009
StatusActive
Last updated in NPPESAug 25, 2023

Details

NPI
1861780009
Entity type
Organization (NPI-2)
Legal business name
Circle Of Angels Home Health Care
Organization subpart
No
Enumeration date
Jul 20, 2011
Certification date
Aug 25, 2023
Last updated
Aug 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
253Z00000X In Home Supportive Care––

Practice location

2375 E Main St Ste A302
Spartanburg, SC 29307-1432

Phone 864-579-3346 · Fax 919-217-0932

Mailing address

3005 Village Park Dr
Suite 204b
Knightdale, NC 27545-7993

Phone 919-217-0933 · Fax 919-217-0932

Authorized official

Darrell Kenyatta Tennie
Administrator
9192170933

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