Provider Demographics
NPI:1699200287
Name:AN ANGELS TOUCH HEALTHCARE SERVICE
Entity Type:Organization
Organization Name:AN ANGELS TOUCH HEALTHCARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, QMHP
Authorized Official - Phone:757-535-3372
Mailing Address - Street 1:1637 SPENCE GATE CIR APT 204
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-6185
Mailing Address - Country:US
Mailing Address - Phone:757-689-3989
Mailing Address - Fax:
Practice Address - Street 1:1637 SPENCE GATE CIR APT 204
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-6185
Practice Address - Country:US
Practice Address - Phone:757-689-3989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health