Provider Demographics
NPI:1437829561
Name:CYNTHIADANIELSHEAVENLYANGELSHELPINGHANDSLLC
Entity Type:Organization
Organization Name:CYNTHIADANIELSHEAVENLYANGELSHELPINGHANDSLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED NURSE
Authorized Official - Phone:407-860-3279
Mailing Address - Street 1:200 MALTESE CIR APT 3
Mailing Address - Street 2:
Mailing Address - City:FERN PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32730-2729
Mailing Address - Country:US
Mailing Address - Phone:407-860-3279
Mailing Address - Fax:
Practice Address - Street 1:200 MALTESE CIR APT 3
Practice Address - Street 2:
Practice Address - City:FERN PARK
Practice Address - State:FL
Practice Address - Zip Code:32730-2729
Practice Address - Country:US
Practice Address - Phone:407-860-3279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health