Healthcare Provider Details

I. General information

NPI: 1497437024
Provider Name (Legal Business Name): ANGEL CARE SENIOR SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2023
Last Update Date: 08/03/2023
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5708 HAMMERMILL LOOP
MONTGOMERY AL
36116
US

IV. Provider business mailing address

7806 VAUGHN RD UNIT 132
MONTGOMERY AL
36116-1333
US

V. Phone/Fax

Practice location:
  • Phone: 334-318-4549
  • Fax:
Mailing address:
  • Phone: 334-318-4549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: TAMARA LAVONNE MCCALL
Title or Position: DIRECTOR
Credential:
Phone: 334-318-4549