MEDICARE: ANGEL'S CARE INC

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	251E00000X	Home Health Agency		MO

General Provider Information

NPI Number	:	1609143874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL'S CARE INC

Provider Business Mailing Address
First Line	:	23 N OAKS PLZ
Second Line	:	SUITE 245
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-2917
Country	:	US
Telephone Number	:	314-381-0321
Fax Number	:	314-381-9509

Provider Business Practice Location Address
First Line	:	23 N OAKS PLZ
Second Line	:	SUITE 245
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-2917
Country	:	US
Telephone Number	:	314-381-0321
Fax Number	:	314-381-9509

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. TAWANDA ALT GREGORY
Credential	:
Telephone Number	:	314-381-0321

Provider Enumeration Date	:	11/16/2011
Last Update Date	:	11/16/2011

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Directions to “ANGEL'S CARE INC ” Practice Location

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