| NPI | 1053558643 |
|---|---|
| Other Name | ANGEL AIDES |
| Entity Type | Organization |
| Authorized Contact | ANGIE MATTINGLY Mgr Provider Enrollment 502-394-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2024-01-26 |