Provider Demographics
NPI:1538596283
Name:ANGELS HOME SERVICE INC
Entity type:Organization
Organization Name:ANGELS HOME SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORBES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-788-5946
Mailing Address - Street 1:2524 BRITTANY PARK LN
Mailing Address - Street 2:
Mailing Address - City:ELLENWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30294-6278
Mailing Address - Country:US
Mailing Address - Phone:678-788-5956
Mailing Address - Fax:404-795-1040
Practice Address - Street 1:2524 BRITTANY PARK LN
Practice Address - Street 2:
Practice Address - City:ELLENWOOD
Practice Address - State:GA
Practice Address - Zip Code:30294-6278
Practice Address - Country:US
Practice Address - Phone:678-788-5956
Practice Address - Fax:404-795-1040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health