Organization Name: | ADDISONS ANGELS |
NPI Number: | 1750750972 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNIE RAY JONES (OWNER/MANAGER) |
Mailing Address: | 2705 Artie St Sw Bldg 500 Ste 39 Huntsville |
State: | AL US |
Postal Code: | 358054761 |
Phone Number: | 2563821956 |
Fax Number: | 2563821957 |
NPI Enumeration Date: | 09/17/2015 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 17737 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |