Provider Demographics
NPI:1497458368
Name:BARBZ ANGELS LLC
Entity Type:Organization
Organization Name:BARBZ ANGELS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:E
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-251-1529
Mailing Address - Street 1:187 ROBERSON MILL RD NE STE 205
Mailing Address - Street 2:
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-4992
Mailing Address - Country:US
Mailing Address - Phone:478-251-1529
Mailing Address - Fax:478-210-1183
Practice Address - Street 1:187 ROBERSON MILL RD NE STE 205
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-4992
Practice Address - Country:US
Practice Address - Phone:478-251-1529
Practice Address - Fax:478-210-1183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health