Healthcare Provider Details

I. General information

NPI: 1093943862
Provider Name (Legal Business Name): LA'S HELPING ANGELS AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2009
Last Update Date: 06/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 SADDLE CREEK LN
DURHAM NC
27703-2757
US

IV. Provider business mailing address

110 SADDLE CREEK LN
DURHAM NC
27703-2757
US

V. Phone/Fax

Practice location:
  • Phone: 919-641-4442
  • Fax:
Mailing address:
  • Phone: 919-641-4442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. LUCRESIA ALETHA ADAMS
Title or Position: OWNER
Credential: BA
Phone: 919-641-4442