Organization Name: | ANGELS AT MY DOOR LLC |
NPI Number: | 1447634084 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FREDDIE LEE JAMES (OWNER/MEMBER) |
Mailing Address: | 2220 E River Trace Dr Apt 8 Bartlett |
State: | TN US |
Postal Code: | 381342717 |
Phone Number: | 9015701384 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2015 |
NPI Last Update Date: | 07/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |