Provider Demographics
NPI:1568763431
Name:ANGELS AT WORK
Entity Type:Organization
Organization Name:ANGELS AT WORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:KILGORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-552-5400
Mailing Address - Street 1:4482 COMMERCE DR
Mailing Address - Street 2:SUITE 114
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-7512
Mailing Address - Country:US
Mailing Address - Phone:770-552-5400
Mailing Address - Fax:
Practice Address - Street 1:4482 COMMERCE DR
Practice Address - Street 2:SUITE 114
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-7512
Practice Address - Country:US
Practice Address - Phone:770-552-5400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty