Provider Demographics
NPI:1407435761
Name:HEAVEN'S LITTLE ANGELS INC.
Entity Type:Organization
Organization Name:HEAVEN'S LITTLE ANGELS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-303-4819
Mailing Address - Street 1:3051 MENORCA CT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-4124
Mailing Address - Country:US
Mailing Address - Phone:321-303-4819
Mailing Address - Fax:407-604-6949
Practice Address - Street 1:911 TOWNE CENTER DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-3471
Practice Address - Country:US
Practice Address - Phone:321-303-4819
Practice Address - Fax:407-604-6949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care