| Organization Name: | ANGEL EYE HOSPICE, LLC |
| NPI Number: | 1649398835 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNA DELANCY (ADMINISTRATOR) |
| Mailing Address: | 2770 S Maryland Pkwy Suite 512 Las Vegas |
| State: | NV US |
| Postal Code: | 891091554 |
| Phone Number: | 7027371771 |
| Fax Number: | 7027377871 |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 02/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 4119HPC1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |