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NPI Code Detail

MEDICARE: ANGELS DEN HOME HEALTH CARE INCORPORATION

MEDICARE: ANGELS DEN HOME HEALTH CARE INCORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1063041234
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGELS DEN HOME HEALTH CARE INCORPORATION
Provider Business Mailing Address
First Line : 6427 COLLINGSWORTH ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-2963
Country : US
Telephone Number : 725-724-7847
Fax Number :
Provider Business Practice Location Address
First Line : 6427 COLLINGSWORTH ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-2963
Country : US
Telephone Number : 725-724-7847
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : RAYCHEL FRANKLIN
Credential :
Telephone Number : 725-724-7847
Provider Enumeration Date : 04/08/2020
Last Update Date : 04/08/2020

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Directions to “ANGELS DEN HOME HEALTH CARE INCORPORATION ” Practice Location

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