MEDICARE: TWO TS ANGELS 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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1518820687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TWO TS ANGELS LLC

Provider Business Mailing Address
First Line	:	714 MARTIN LUTHER KING BLVD
Second Line	:	SUITE 1
City	:	SAVANNAH
State	:	GA
Zip	:	31401
Country	:	US
Telephone Number	:	912-604-3862
Fax Number	:

Provider Business Practice Location Address
First Line	:	714 MARTIN LUTHER KING BLVD
Second Line	:	SUITE 1
City	:	SAVANNAH
State	:	GA
Zip	:	31401
Country	:	US
Telephone Number	:	912-604-3862
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAKISHA R RUTH
Credential	:
Telephone Number	:	912-604-3862

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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Directions to “TWO TS ANGELS LLC ” Practice Location

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