Provider Demographics
NPI:1568851657
Name:ANGELS HANDS HEALTHCARE
Entity Type:Organization
Organization Name:ANGELS HANDS HEALTHCARE
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:LAKODUK
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:701-240-6363
Mailing Address - Street 1:3701 10TH ST NE
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-3505
Mailing Address - Country:US
Mailing Address - Phone:701-240-6363
Mailing Address - Fax:
Practice Address - Street 1:3701 10TH ST NE
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703-3505
Practice Address - Country:US
Practice Address - Phone:701-240-6363
Practice Address - Fax:701-838-2007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care