Provider Demographics
NPI:1326582594
Name:ANGEL HANDS HOME CARE INC
Entity Type:Organization
Organization Name:ANGEL HANDS HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZORENA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAGNANDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-977-8655
Mailing Address - Street 1:2997 ROUTE 611
Mailing Address - Street 2:
Mailing Address - City:TANNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18372-7983
Mailing Address - Country:US
Mailing Address - Phone:570-977-8655
Mailing Address - Fax:
Practice Address - Street 1:2997 ROUTE 611
Practice Address - Street 2:
Practice Address - City:TANNERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18372-7983
Practice Address - Country:US
Practice Address - Phone:570-977-8655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care