Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X |
| NPI # | 1568155984 |
| LBN Legal business name | ADVANCED ANGELS LLC |
| Authorized official | TANGELA SCOTT - (OWNER/MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/31/2023 |
| Last updated | 07/17/2023 - About 3 years ago |
| Identifiers | n/a |
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ADVANCED ANGELS LLC
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