Provider Demographics
NPI:1578194858
Name:ANGELS BY DESIGN, INC.
Entity Type:Organization
Organization Name:ANGELS BY DESIGN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOURGEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-805-9160
Mailing Address - Street 1:12 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-2809
Mailing Address - Country:US
Mailing Address - Phone:352-805-9160
Mailing Address - Fax:
Practice Address - Street 1:12 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34601-2809
Practice Address - Country:US
Practice Address - Phone:352-805-9160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health