Idella's Angels

NPI #1114549763 in Cairo, Georgia

Provider Information

NPI Number
1114549763
Entity Type
Organization
Organization Name
Idella's Angels
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
May 16, 2020
Last Updated
Oct 12, 2021

Practice Location

Address
270 13TH AVE SW
City
Cairo
State
Georgia
ZIP Code
39828-3423
Phone
(229) 200-4887

Authorized Official

Name
SHARON LAVERNE BENNETT
Title
OWNER
Phone
(229) 200-4887

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory
Custodial Care Facility - Adult Care HomeAdult Care Home

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