| Angel House Inc | |
|
3816 Liberty Ridge Rd Virginia Beach VA 23452-2902 | |
| (757) 486-0007 | |
| Not Available |
| Full Name | Angel House Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3816 Liberty Ridge Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Aman Massaquoi (CEO) |
| Authorized Official Contact | 7574860007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel House Inc 3816 Liberty Ridge Rd Virginia Beach VA 23452-2902 Ph: (757) 486-0007 | Angel House Inc 3816 Liberty Ridge Rd Virginia Beach VA 23452-2902 Ph: (757) 486-0007 |
| NPI Number | 1710270186 |
|---|---|
| Provider Enumeration Date | 05/18/2011 |
| Last Update Date | 05/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710270186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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