Provider Demographics
NPI:1306401112
Name:GAIL'S ANGELS HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:GAIL'S ANGELS HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-780-6863
Mailing Address - Street 1:12416 SUMMERHOUSE DR APT 12
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-2921
Mailing Address - Country:US
Mailing Address - Phone:314-780-6863
Mailing Address - Fax:
Practice Address - Street 1:12416 SUMMERHOUSE DR APT 12
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-2921
Practice Address - Country:US
Practice Address - Phone:314-780-6863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care