Organization Name: | ANGELS HOME CARE, LLC |
NPI Number: | 1831333178 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER L BEASLEY (DIRECTOR) |
Mailing Address: | 5104 W Redbird Rd Phoenix |
State: | AZ US |
Postal Code: | 850831296 |
Phone Number: | 6235949499 |
Fax Number: | 6235943499 |
NPI Enumeration Date: | 04/30/2009 |
NPI Last Update Date: | 04/30/2009 |
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 |