Organization Name: | MESSIAHS ANGEL FOUNDATION CENTER |
NPI Number: | 1073901229 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL HIGGIN (DIRECTOR) |
Mailing Address: | 400-402 Fox Hunt Dr Bear |
State: | DE US |
Postal Code: | 197012537 |
Phone Number: | 3023655516 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2014 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 2013104573 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |