NPI | 1033798525 |
---|---|
Doing Business As | ANGELS DIVINE PERSONAL CARE HOME |
Entity Type | Organization |
Authorized Contact | TAMMIE T BARKSDALE Owner/Administrator 478-257-7136 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2021-04-03 |
Last Update Date | 2021-04-03 |