Provider Demographics
NPI:1235160623
Name:LITTLE ANGELS MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:LITTLE ANGELS MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYE
Authorized Official - Middle Name:JUANITA
Authorized Official - Last Name:EEDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-772-8850
Mailing Address - Street 1:119 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:OK
Mailing Address - Zip Code:73096-4939
Mailing Address - Country:US
Mailing Address - Phone:580-772-8850
Mailing Address - Fax:580-772-8851
Practice Address - Street 1:119 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:OK
Practice Address - Zip Code:73096-4939
Practice Address - Country:US
Practice Address - Phone:580-772-8850
Practice Address - Fax:580-772-8851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK214751332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK4428340001Medicare NSC