Provider Demographics
NPI:1912655689
Name:ANGELCARE RESOURCES LLC
Entity type:Organization
Organization Name:ANGELCARE RESOURCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:OBIANUJU
Authorized Official - Last Name:OKEAGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-728-9229
Mailing Address - Street 1:9604 PRINCE PL
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1077
Mailing Address - Country:US
Mailing Address - Phone:240-728-9229
Mailing Address - Fax:
Practice Address - Street 1:9604 PRINCE PL
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-1077
Practice Address - Country:US
Practice Address - Phone:240-728-9229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-12
Last Update Date:2022-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services