Provider Demographics
NPI:1487030714
Name:CARE ANGELS
Entity Type:Organization
Organization Name:CARE ANGELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARLEASE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-517-3216
Mailing Address - Street 1:1240 TREYBROOKE CIR
Mailing Address - Street 2:1240
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-9157
Mailing Address - Country:US
Mailing Address - Phone:904-517-3216
Mailing Address - Fax:
Practice Address - Street 1:1240 TREYBROOKE CIR
Practice Address - Street 2:1240
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-9157
Practice Address - Country:US
Practice Address - Phone:904-517-3216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health