Provider Demographics
NPI:1861072316
Name:SENIOR HOME CARE BY ANGELS INC D/B/A VISITING ANGELS
Entity type:Organization
Organization Name:SENIOR HOME CARE BY ANGELS INC D/B/A VISITING ANGELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-455-7702
Mailing Address - Street 1:1950 LAWRENCE RD FL 1
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-1734
Mailing Address - Country:US
Mailing Address - Phone:610-924-9663
Mailing Address - Fax:610-924-9690
Practice Address - Street 1:1950 LAWRENCE RD FL 1
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-1734
Practice Address - Country:US
Practice Address - Phone:610-924-9663
Practice Address - Fax:610-924-9690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care