Mene Angel Home & Health Care

NPI #1114224177 in Rockford, Illinois

Provider Information

NPI Number: 1114224177
Entity Type: Organization
Organization Name: Mene Angel Home & Health Care
Subpart: Yes (part of a larger organization)
Parent Organization: MATRIARCH'S ENTERPRISE
Primary Specialty: Home Health Aide
Enumeration Date: Feb 26, 2011
Last Updated: Feb 26, 2011

Practice Location

Address: 815 N CHURCH ST
City: Rockford
State: Illinois
ZIP Code: 61103-7205
Phone: (815) 914-6072

Authorized Official

Name: MS. LOUISE MARIE CRAYTON
Title: OWNER
Phone: (815) 914-6072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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