Provider Demographics
NPI:1760112411
Name:ETERNAL ANGELS CAREGIVING
Entity Type:Organization
Organization Name:ETERNAL ANGELS CAREGIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-202-7443
Mailing Address - Street 1:55 BUSHWACKER RD
Mailing Address - Street 2:
Mailing Address - City:WETUMPKA
Mailing Address - State:AL
Mailing Address - Zip Code:36092-6126
Mailing Address - Country:US
Mailing Address - Phone:334-202-7443
Mailing Address - Fax:
Practice Address - Street 1:55 BUSHWACKER RD
Practice Address - Street 2:
Practice Address - City:WETUMPKA
Practice Address - State:AL
Practice Address - Zip Code:36092-6126
Practice Address - Country:US
Practice Address - Phone:334-202-7443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ETERNITY HEALTHCARE STAFFING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-15
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care