Provider Demographics
NPI:1407404429
Name:MINISTERING ANGELS LLC
Entity Type:Organization
Organization Name:MINISTERING ANGELS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANYIKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-844-6666
Mailing Address - Street 1:4605 HORIZON CIR APT 101
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2395
Mailing Address - Country:US
Mailing Address - Phone:410-844-6666
Mailing Address - Fax:206-666-4736
Practice Address - Street 1:4605 HORIZON CIR APT 101
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-2395
Practice Address - Country:US
Practice Address - Phone:410-844-6666
Practice Address - Fax:206-666-4736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness