Provider Demographics
NPI:1922689256
Name:M & J ANGELS HOME HEALTH CARE
Entity type:Organization
Organization Name:M & J ANGELS HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYGOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-400-3047
Mailing Address - Street 1:103 S COURT ST STE 102
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:MS
Mailing Address - Zip Code:38732-2652
Mailing Address - Country:US
Mailing Address - Phone:662-400-3047
Mailing Address - Fax:662-400-3048
Practice Address - Street 1:103 S COURT ST STE 102
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:MS
Practice Address - Zip Code:38732-2652
Practice Address - Country:US
Practice Address - Phone:662-400-3047
Practice Address - Fax:662-400-3048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health