Provider Demographics
NPI:1598317513
Name:SNOW ANGELS HOME CARE INC
Entity Type:Organization
Organization Name:SNOW ANGELS HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-515-4440
Mailing Address - Street 1:212 W ANN ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-3901
Mailing Address - Country:US
Mailing Address - Phone:775-515-4440
Mailing Address - Fax:775-515-4442
Practice Address - Street 1:212 W ANN ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-3901
Practice Address - Country:US
Practice Address - Phone:775-515-4440
Practice Address - Fax:775-515-4442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care