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General NPI Number Information
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NPI Number | 1548494917
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Entity Type | Organization
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Legal Business Name | ANGEL CARE AGENCIES, LLC
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 330 ALAMO ST
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City | LAKE CHARLES
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State | LA
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Zip | 70601-8584
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Country | US
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Telephone | 337-494-7999
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Fax | 337-494-7977
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Provider Business Mailing Address
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Address Line | 330 ALAMO ST
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City | LAKE CHARLES
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State | LA
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Zip | 70601-8584
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Country | US
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Telephone | 337-494-7999
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. RAY A MORROW SR.
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Credential |
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Telephone | 337-494-7999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | PCA 15046
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License Number State | LA
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