Provider Demographics
NPI:1235690793
Name:VISITING ANGELS LIVING ASSISTANCE SERVICES OF ORANGE COUNTY
Entity Type:Organization
Organization Name:VISITING ANGELS LIVING ASSISTANCE SERVICES OF ORANGE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANVARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-379-4546
Mailing Address - Street 1:11602 KNOTT ST STE 7
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-1825
Mailing Address - Country:US
Mailing Address - Phone:714-379-4546
Mailing Address - Fax:714-379-5484
Practice Address - Street 1:11602 KNOTT ST STE 7
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841-1825
Practice Address - Country:US
Practice Address - Phone:714-379-4546
Practice Address - Fax:714-379-5484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-27
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management