Provider Demographics
NPI:1629727961
Name:DOROTHY'S ANGELS HOME HEALTHCARE , LLC
Entity Type:Organization
Organization Name:DOROTHY'S ANGELS HOME HEALTHCARE , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-218-8085
Mailing Address - Street 1:5498 AMELIA LN
Mailing Address - Street 2:
Mailing Address - City:ELLENWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30294-6621
Mailing Address - Country:US
Mailing Address - Phone:404-218-8085
Mailing Address - Fax:
Practice Address - Street 1:5498 AMELIA LN
Practice Address - Street 2:
Practice Address - City:ELLENWOOD
Practice Address - State:GA
Practice Address - Zip Code:30294-6621
Practice Address - Country:US
Practice Address - Phone:404-218-8085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health