Provider Demographics
NPI:1124392485
Name:VISITING ANGELS LIVING ASSISTANCE SERVICES OF WINDSOR
Entity Type:Organization
Organization Name:VISITING ANGELS LIVING ASSISTANCE SERVICES OF WINDSOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-292-5668
Mailing Address - Street 1:5441 BOEING DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-8854
Mailing Address - Country:US
Mailing Address - Phone:970-292-5668
Mailing Address - Fax:970-292-5671
Practice Address - Street 1:5441 BOEING DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-8854
Practice Address - Country:US
Practice Address - Phone:970-292-5668
Practice Address - Fax:970-292-5671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04Q652253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care