Provider Demographics
NPI:1760174817
Name:THE ANGEL'S TOUCH ASSISTING LIVING LLC
Entity Type:Organization
Organization Name:THE ANGEL'S TOUCH ASSISTING LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAREGIVER
Authorized Official - Prefix:
Authorized Official - First Name:DACIA
Authorized Official - Middle Name:NATASHA
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINSTRATOR
Authorized Official - Phone:843-360-7369
Mailing Address - Street 1:709 67TH AVE N APT G
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29572-3734
Mailing Address - Country:US
Mailing Address - Phone:843-360-7369
Mailing Address - Fax:
Practice Address - Street 1:2890 NW 13TH ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311-5230
Practice Address - Country:US
Practice Address - Phone:843-360-7369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility