Provider Demographics
NPI:1346604550
Name:ANGELS-NET FOUNDATION INC
Entity Type:Organization
Organization Name:ANGELS-NET FOUNDATION INC
Other - Org Name:ANGELS-NET FOUNDATION INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:508-579-8157
Mailing Address - Street 1:56 WHITE AVE
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-1641
Mailing Address - Country:US
Mailing Address - Phone:508-579-8157
Mailing Address - Fax:774-420-7152
Practice Address - Street 1:17 MECHANIC ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-2402
Practice Address - Country:US
Practice Address - Phone:508-579-8157
Practice Address - Fax:774-420-7152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No253Z00000XAgenciesIn Home Supportive Care