| NPI | 1063286094 |
|---|---|
| Former Legal Business Name | ANGEL HOME HEALTH CARE LLC |
| Entity Type | Organization |
| Authorized Contact | KENNETH W HOUSE CEO 608-239-1973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2024-03-21 |