Provider Demographics
NPI:1366693798
Name:LITTLE ANGEL'S HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:LITTLE ANGEL'S HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:856-503-7428
Mailing Address - Street 1:PO BOX 343
Mailing Address - Street 2:
Mailing Address - City:ROSENHAYN
Mailing Address - State:NJ
Mailing Address - Zip Code:08352-0343
Mailing Address - Country:US
Mailing Address - Phone:856-503-7428
Mailing Address - Fax:
Practice Address - Street 1:583 ELM STREET
Practice Address - Street 2:
Practice Address - City:ROSENHAYN
Practice Address - State:NJ
Practice Address - Zip Code:08352
Practice Address - Country:US
Practice Address - Phone:856-503-7428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health