Provider Demographics
NPI:1295214633
Name:CHERISHED ANGEL'S INC.
Entity Type:Organization
Organization Name:CHERISHED ANGEL'S INC.
Other - Org Name:CHERISHED ANGEL'S
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEBLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-608-0053
Mailing Address - Street 1:74 W 14TH ST
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32233-3463
Mailing Address - Country:US
Mailing Address - Phone:904-608-0053
Mailing Address - Fax:
Practice Address - Street 1:7002 HODGSON MEMORIAL DR STE 108
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-1517
Practice Address - Country:US
Practice Address - Phone:904-608-0053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health