Provider Demographics
NPI:1902237738
Name:ANGEL EYES STAFFING
Entity Type:Organization
Organization Name:ANGEL EYES STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-218-3954
Mailing Address - Street 1:8082 PLAINVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-2932
Mailing Address - Country:US
Mailing Address - Phone:313-218-3954
Mailing Address - Fax:313-279-5624
Practice Address - Street 1:8082 PLAINVIEW AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-2932
Practice Address - Country:US
Practice Address - Phone:313-218-3954
Practice Address - Fax:313-279-5624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health