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NPI Code Detail

MEDICARE: JOSIE'S ANGELS HOMECARE LLC

MEDICARE: JOSIE'S ANGELS HOMECARE LLC
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
1253Z00000XIn Home Supportive Care AgencyAL
2253Z00000XIn Home Supportive Care Agency18019427AL

General Provider Information

NPI Number : 1396246716
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSIE'S ANGELS HOMECARE LLC
Provider Business Mailing Address
First Line : 1 CHASE CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35244-7001
Country : US
Telephone Number : 833-252-6435
Fax Number :
Provider Business Practice Location Address
First Line : 1 CHASE CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35244-7001
Country : US
Telephone Number : 833-252-6435
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : RENNE DOWLING
Credential :
Telephone Number : 833-252-6435
Provider Enumeration Date : 02/21/2018
Last Update Date : 02/21/2018

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Directions to “JOSIE'S ANGELS HOMECARE LLC ” Practice Location

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