805 Angels LLC
NPI #1720571581 in Carpinteria, California
Provider Information
- NPI Number
- 1720571581
- Entity Type
- Organization
- Organization Name
- 805 Angels LLC
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Jun 7, 2018
- Last Updated
- Jun 7, 2018
Practice Location
- Address
- 5565 CARPINTERIA AVE
- Address 2
- STE 1
- City
- Carpinteria
- State
- California
- ZIP Code
- 93013
- Phone
- (805) 284-0221
Authorized Official
- Name
- DR. LYDIA TULLY-ROOS, PHD
- Title
- DIRECTOR/OWNER
- Phone
- (805) 284-0221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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| Provider Name | |
|---|---|
| Shavon Marie Hill | |
| MRS. Debora Liz Harrison, RCFE LICENCEE | |
| MR. Mwezo Kudumu, BS, CERT. OF NURSING | |
| Joseph Orenzo Williams, BA |
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| Provider Name | |
|---|---|
| At Homecare, Inc. |
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