Organization Name: | RA HOME ANGELS CORP |
NPI Number: | 1255664306 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RASA STRIPEIKIS (CO OWNER) |
Mailing Address: | 4496 E Jones Bridge Rd Norcross |
State: | GA US |
Postal Code: | 300921617 |
Phone Number: | 7704091455 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2009 |
NPI Last Update Date: | 08/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 067-R-0596 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |