| Angelo's Care Home, Inc | |
|
10091 Us Highway 74 W Maxton NC 28364-8936 | |
| (910) 521-1895 | |
| (910) 521-7220 |
| Full Name | Angelo's Care Home, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10091 Us Highway 74 W, Maxton, North Carolina |
| Authorized Official Name and Position | Judy Cindy Locklear (ADMINISTRATOR) |
| Authorized Official Contact | 9105211895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angelo's Care Home, Inc 10091 Us Highway 74 W Maxton NC 28364-8936 Ph: (910) 521-1895 | Angelo's Care Home, Inc 10091 Us Highway 74 W Maxton NC 28364-8936 Ph: (910) 521-1895 |
| NPI Number | 1790981512 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790981512 | NPI | - | NPPES |
| 8301780G | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5223 (North Carolina) | Primary |
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