Provider Demographics
NPI:1376837666
Name:SPANG INC
Entity Type:Organization
Organization Name:SPANG INC
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SPANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-620-8484
Mailing Address - Street 1:8405 SW 80TH ST
Mailing Address - Street 2:SUITE 14
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34481-9121
Mailing Address - Country:US
Mailing Address - Phone:352-620-8484
Mailing Address - Fax:352-620-8415
Practice Address - Street 1:8405 SW 80TH ST
Practice Address - Street 2:SUITE 14
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-9121
Practice Address - Country:US
Practice Address - Phone:352-620-8484
Practice Address - Fax:352-620-8415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211451251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health