MEDICARE: ANGLES OF THE VALLEY

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1396491569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGLES OF THE VALLEY

Provider Business Mailing Address
First Line	:	2927 YOUNGSTOWN RD SE STE 1
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44484-5280
Country	:	US
Telephone Number	:	234-223-1110
Fax Number	:

Provider Business Practice Location Address
First Line	:	2927 YOUNGSTOWN RD SE STE 1
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44484-5280
Country	:	US
Telephone Number	:	234-223-1110
Fax Number	:

Authorized Official
Title or Position	:	0WNER
Name	:	BRIONA CAPRICE CLAY
Credential	:
Telephone Number	:	234-223-1110

Provider Enumeration Date	:	02/26/2022
Last Update Date	:	02/26/2022

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Directions to “ANGLES OF THE VALLEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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