Provider Demographics
NPI:1013211051
Name:TOUCH BY ANGELS, LLC
Entity Type:Organization
Organization Name:TOUCH BY ANGELS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:561-305-7589
Mailing Address - Street 1:8461 LAKE WORTH RD
Mailing Address - Street 2:SUITE #126
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-2474
Mailing Address - Country:US
Mailing Address - Phone:561-209-6017
Mailing Address - Fax:561-214-4995
Practice Address - Street 1:8461 LAKE WORTH RD
Practice Address - Street 2:SUITE #126
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-2474
Practice Address - Country:US
Practice Address - Phone:561-209-6017
Practice Address - Fax:561-214-4995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL232008253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care