NPI 1114549763

Idella's Angels

Organisation Adult Care Home Facility Cairo, GA

Practice location

Address: 270 13th Ave SW, Cairo, GA 39828-3423
Phone: (229) 200-4887

Authorised official

Name: Sharon Laverne Bennett
Title: Owner
Phone: (229) 200-4887

Registered specialties (2)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Georgia →

Clinical Medical Laboratory

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Georgia →

Registry record

NPI: 1114549763
Entity type: Organization
NPI issued: 16 May 2020
Record last updated: 12 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.