Provider Demographics
NPI:1659717619
Name:ANGEL CREATIVE SOLUTIONS FOR HEALTHCARE
Entity Type:Organization
Organization Name:ANGEL CREATIVE SOLUTIONS FOR HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KINUTHIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BA, BSN, CDCES
Authorized Official - Phone:617-356-1356
Mailing Address - Street 1:6 LIBERTY SQ # 3049
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-5800
Mailing Address - Country:US
Mailing Address - Phone:617-356-1356
Mailing Address - Fax:
Practice Address - Street 1:6 LIBERTY SQ # 3049
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-5800
Practice Address - Country:US
Practice Address - Phone:617-356-1356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-17
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate HealthGroup - Multi-Specialty