Provider Demographics
NPI:1548542723
Name:ANGELS RECOVERY LLC
Entity type:Organization
Organization Name:ANGELS RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING DEPARTMENT
Authorized Official - Prefix:
Authorized Official - First Name:ZARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELMARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-746-8232
Mailing Address - Street 1:11576 PIERSON RD
Mailing Address - Street 2:UNIT K5
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-8767
Mailing Address - Country:US
Mailing Address - Phone:954-746-8232
Mailing Address - Fax:
Practice Address - Street 1:11576 PIERSON RD
Practice Address - Street 2:UNIT K5
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-8767
Practice Address - Country:US
Practice Address - Phone:954-746-8232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility