Provider Demographics
NPI:1578933792
Name:AFFORDABLE ANGELS HOME HEALTH AIDES, LLC
Entity Type:Organization
Organization Name:AFFORDABLE ANGELS HOME HEALTH AIDES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIZA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:ROBLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-579-8046
Mailing Address - Street 1:559 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:PA
Mailing Address - Zip Code:18224-1918
Mailing Address - Country:US
Mailing Address - Phone:570-579-8046
Mailing Address - Fax:
Practice Address - Street 1:559 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:FREELAND
Practice Address - State:PA
Practice Address - Zip Code:18224-1918
Practice Address - Country:US
Practice Address - Phone:570-579-8046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA28473601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health