Provider Demographics
NPI:1184216954
Name:ANGEL'S LOVE ALH, LLC
Entity Type:Organization
Organization Name:ANGEL'S LOVE ALH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROWENA
Authorized Official - Middle Name:DELIM
Authorized Official - Last Name:SABADO
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:907-677-1211
Mailing Address - Street 1:3424 E 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-3037
Mailing Address - Country:US
Mailing Address - Phone:907-677-1211
Mailing Address - Fax:
Practice Address - Street 1:3424 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-3037
Practice Address - Country:US
Practice Address - Phone:907-677-1211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities