Provider Demographics
NPI:1730825498
Name:ANGELIC HANDS INC.
Entity type:Organization
Organization Name:ANGELIC HANDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:C
Authorized Official - Last Name:OHARA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:970-394-4316
Mailing Address - Street 1:925 S. BROADWAY STE 286
Mailing Address - Street 2:
Mailing Address - City:CORTEZ
Mailing Address - State:CO
Mailing Address - Zip Code:81321-4033
Mailing Address - Country:US
Mailing Address - Phone:970-565-7134
Mailing Address - Fax:
Practice Address - Street 1:925 S. BROADWAY STE 286
Practice Address - Street 2:
Practice Address - City:CORTEZ
Practice Address - State:CO
Practice Address - Zip Code:81321-4033
Practice Address - Country:US
Practice Address - Phone:970-565-7134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care