Provider Demographics
NPI:1124316625
Name:DALOTA ANGELS, LLC
Entity type:Organization
Organization Name:DALOTA ANGELS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:VELAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:605-334-8600
Mailing Address - Street 1:5104 N HARVESTORE RD
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57107-6439
Mailing Address - Country:US
Mailing Address - Phone:605-334-8600
Mailing Address - Fax:605-338-2060
Practice Address - Street 1:5104 N HARVESTORE RD
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57107-6439
Practice Address - Country:US
Practice Address - Phone:605-334-8600
Practice Address - Fax:605-338-2060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health