Provider Demographics
NPI:1467791319
Name:STOKES ANGELS 2
Entity Type:Organization
Organization Name:STOKES ANGELS 2
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATE
Authorized Official - Middle Name:A
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-310-2644
Mailing Address - Street 1:225 E SUNSHINE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-2661
Mailing Address - Country:US
Mailing Address - Phone:417-863-8006
Mailing Address - Fax:417-863-1860
Practice Address - Street 1:225 E SUNSHINE ST
Practice Address - Street 2:SUITE 3
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-2652
Practice Address - Country:US
Practice Address - Phone:417-863-8006
Practice Address - Fax:417-863-1860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care