Provider Demographics
NPI:1114229440
Name:ANGELS AROUND US
Entity Type:Organization
Organization Name:ANGELS AROUND US
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:SKINNER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:770-374-8362
Mailing Address - Street 1:PO BOX 1283
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-6283
Mailing Address - Country:US
Mailing Address - Phone:404-506-9751
Mailing Address - Fax:
Practice Address - Street 1:8915 CREEKWOOD CT
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-4601
Practice Address - Country:US
Practice Address - Phone:700-471-2144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health